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NPI Code Detail

MEDICARE: DR. JAVIER EMILIO ALFONSO M.D.

MEDICARE:  DR. JAVIER EMILIO ALFONSO  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianME111392FL
2207RN0300XNephrology PhysicianME111392FL

General Provider Information

NPI Number : 1093952442
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAVIER EMILIO ALFONSO M.D.
Provider Business Mailing Address
First Line : 7392 NW 35TH TER STE 306
Second Line :
City : MIAMI
State : FL
Zip : 33122-1260
Country : US
Telephone Number : 786-703-4932
Fax Number : 954-337-3776
Provider Business Practice Location Address
First Line : 7392 NW 35TH TER STE 306
Second Line :
City : MIAMI
State : FL
Zip : 33122-1260
Country : US
Telephone Number : 786-703-4932
Fax Number : 786-558-2717
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2009
Last Update Date : 11/10/2023

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Directions to “ DR. JAVIER EMILIO ALFONSO M.D.” Practice Location

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