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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ALEXANDER FERNANDO SAN DIEGO JR., D.P.M.

Active

DR. ALEXANDER FERNANDO SAN DIEGO JR., D.P.M. is a Foot & Ankle Surgery Podiatrist healthcare provider located in MERRITT ISLAND, Florida. NPI 1053678052 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery Podiatrist · MERRITT ISLAND, FL

Registration Details

NPI Number
1053678052
Provider Type
Individual
Gender
Male
NPI Issued
Apr 13, 2012 (14.380799133945 yrs)
Last Updated
Aug 24, 2015
License
PO3686 (FL)

Practice Information

Address
2404 N COURTENAY PKWY
MERRITT ISLAND, FL, 329534191
Browse FL providers · Browse ZIP 32953
Phone
3214521327
Fax
3214549208
Primary Specialty
Foot & Ankle Surgery Podiatrist
213ES0103X

Other Foot & Ankle Surgery Podiatrist Providers in MERRITT ISLAND, FL

Name Credential NPI
DR. RISA L VINARUB DPM 1700857406
DR. MARK BEYLIN DPM 1356391601
DR. RICHARD D KOENIG DPM 1881739258
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.