Provider Demographics
NPI:1760360762
Name:BOCALANDRO, AMADO
Entity type:Individual
Prefix:
First Name:AMADO
Middle Name:
Last Name:BOCALANDRO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21366 HALL RD # 4053
Mailing Address - Street 2:
Mailing Address - City:CLINTON TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-1539
Mailing Address - Country:US
Mailing Address - Phone:561-255-0705
Mailing Address - Fax:248-769-6400
Practice Address - Street 1:42850 SCHOENHERR RD STE 6
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48313-2875
Practice Address - Country:US
Practice Address - Phone:561-255-0705
Practice Address - Fax:248-769-6400
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-26
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies