Doctor Name: | DR. ALFREDO MACHADO |
NPI Number: | 1467495093 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME86567 |
Business Practice Address: | 151 Nw 11th St Suite 202a Homestead, FL - 330304360 |
Business Phone Number: | 3052453220 |
Business Fax Number: | |
Mailing Address: | 11205 Sw 133rd Ter, MIAMI |
State: | FL |
Postal Code: | 331768314 |
Phone Number: | 7864178193 |
Fax Number: | 7862422993 |
NPI Enumeration Date: | 06/13/2006 |
NPI Last Update Date: | 11/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME86567 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |