Provider Demographics
NPI:1144885526
Name:ALMENDARES, DEREK (DO)
Entity type:Individual
Prefix:DR
First Name:DEREK
Middle Name:
Last Name:ALMENDARES
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9119 NW 159TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33018-1424
Mailing Address - Country:US
Mailing Address - Phone:786-487-9882
Mailing Address - Fax:
Practice Address - Street 1:13903 NW 67TH AVE STE 440
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2939
Practice Address - Country:US
Practice Address - Phone:305-882-7747
Practice Address - Fax:305-882-7748
Is Sole Proprietor?:No
Enumeration Date:2019-05-01
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS18244207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine