Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andres Manuel Dorado Nico, PA

Individual provider Behavior Technician · NPI 1619795143

Andres Manuel Dorado Nico, PA is a Physician Assistant in Homestead, Florida. Qualified in 2024, 2 years ago. Practices as a sole proprietor and works from 5 locations. Licensed in Florida and Puerto Rico.

Years since qualifying
2
Licensed in
FL, PR
In the registry since
2024
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

974 Old Dixie Hwy Ste A
Homestead, FL 33030-4933
Phone: (305) 845-1655
Fax: (305) 845-1641
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 18300 Nw 62nd Ave, Hialeah, FL 33015-8200 — (305) 290-7722
  • 2390 Nw 7th St, Miami, FL 33125-3226 — (305) 274-5319
  • 1525 Nw 3rd Ave, Miami, FL 33136-1807 — (305) 723-9102
  • 9495 Sw 72nd St Ste B180, Miami, FL 33173-5424 — (305) 274-5319

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PACN72 (FL)
Behavior Technician Taxonomy 106S00000X · Licence RBT-24-392034 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 2305 (PR)

Record details

NPI number1619795143
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedOctober 2, 2024
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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