Individual provider · Type 1 NPI

Xavier Andres Grandes Andrade, MD

Student in an Organized Health Care Education/Training Program · Bridgeport, CT

NPI number 1952246555 Active

Practice location

267 Grant Street
Bridgeport, CT 06610

Fax (203) 384-4294

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X1.084779-RES (CT)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1952246555

Xavier Andres Grandes Andrade, MD's National Provider Identifier is 1952246555, issued on Apr 21, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bridgeport, CT. The record was last updated on Aug 14, 2026.