Individual provider · NPI-1

Dr. Alex Alexander Agostini-Miranda, MD

Emergency Medicine · Fargo, ND

NPI number1104815117
StatusActive
Last updated in NPPESApr 25, 2025

Details

NPI
1104815117
Entity type
Individual (NPI-1)
Name
Dr. Alex Alexander Agostini-Miranda
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 21, 2005
Certification date
Apr 25, 2025
Last updated
Apr 25, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency MedicineME95555FLYes
207P00000X Emergency Medicine43934IA
207P00000X Emergency Medicine76009MN
207P00000X Emergency MedicineE-7802AR
207P00000X Emergency MedicineMD0000039280TN
207P00000X Emergency MedicineMD.30950AL
207P00000X Emergency Medicine44351KY
207P00000X Emergency Medicine20002ND
207Q00000X Family MedicineMD.30950AL
207Q00000X Family Medicine76009MN
207Q00000X Family Medicine20002ND
207Q00000X Family Medicine43934IA
207Q00000X Family MedicineME95555FL
207Q00000X Family MedicineMD0000039280TN
207Q00000X Family Medicine44351KY

Other names

  • Alex A Agostini (Other Name)

Practice location

2101 Elm St N
Fargo, ND 58102-2417

Phone 701-232-3241

Mailing address

2101 Elm St N
Fargo, ND 58102-2417

Phone 701-232-3241

Other practice locations

9555 Sw 162nd Ave
Emergency Room
Miami, FL 33196-6408

Phone 786-228-6498 · Fax 888-435-3753

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