Organization Name: | IVO ALONSO MD PA |
NPI Number: | 1215139712 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | IVO ALONSO (PRES) |
Mailing Address: | 3934 Sw 8th St Ste 207 Coral Gables |
State: | FL US |
Postal Code: | 331342949 |
Phone Number: | 3054487499 |
Fax Number: | 3054485061 |
NPI Enumeration Date: | 06/05/2007 |
NPI Last Update Date: | 09/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME82269 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |