MEDICARE: LUZ A ALONSO 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
1	207R00000X	Internal Medicine Physician	35083524	OH
2	207R00000X	Internal Medicine Physician	ME97551	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	91170	OTHER	FL	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376524223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUZ A ALONSO M.D.

Provider Business Mailing Address
First Line	:	1090 W STATE ROAD 436
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-2921
Country	:	US
Telephone Number	:	407-869-1030
Fax Number	:	407-869-1025

Provider Business Practice Location Address
First Line	:	1090 W STATE ROAD 436
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-2921
Country	:	US
Telephone Number	:	407-869-1030
Fax Number	:	407-869-1025

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2005
Last Update Date	:	04/09/2026

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Directions to “ LUZ A ALONSO M.D.” Practice Location

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