Healthcare Provider Details

I. General information

NPI: 1265605521
Provider Name (Legal Business Name): ZOILA M ALEN M D P A
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2008
Last Update Date: 04/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1578 W 68TH ST
HIALEAH FL
33014-3810
US

IV. Provider business mailing address

1578 W 68TH ST
HIALEAH FL
33014-3810
US

V. Phone/Fax

Practice location:
  • Phone: 305-557-3889
  • Fax: 305-557-8830
Mailing address:
  • Phone: 305-557-3889
  • Fax: 305-557-8830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number
License Number State

VIII. Authorized Official

Name: ZOILA M ALEN
Title or Position: MEDICAL DOCTOR
Credential: MD
Phone: 305-557-3889