MEDICARE: DR. ALLIETE RODRIGUEZ ALFANO PH.D., CCC-SLP

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	235Z00000X	Speech-Language Pathologist	SA 5335	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992763957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALLIETE RODRIGUEZ ALFANO PH.D., CCC-SLP

Provider Business Mailing Address
First Line	:	6840 SW 40TH ST
Second Line	:	STE 211A
City	:	MIAMI
State	:	FL
Zip	:	33155-3756
Country	:	US
Telephone Number	:	305-461-4702
Fax Number	:	305-461-4705

Provider Business Practice Location Address
First Line	:	6840 SW 40TH ST
Second Line	:	SUITE 211A
City	:	MIAMI
State	:	FL
Zip	:	33155-3762
Country	:	US
Telephone Number	:	305-461-4702
Fax Number	:	305-461-4705

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

Provider Enumeration Date	:	05/01/2006
Last Update Date	:	08/10/2023

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Directions to “ DR. ALLIETE RODRIGUEZ ALFANO PH.D., CCC-SLP” Practice Location

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