Healthcare Provider Details

I. General information

NPI: 1972489102
Provider Name (Legal Business Name): JORGE L ALSINA MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2025
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4999 W 8TH AVE STE 26
HIALEAH FL
33012-3409
US

IV. Provider business mailing address

4999 W 8TH AVE STE 26
HIALEAH FL
33012-3409
US

V. Phone/Fax

Practice location:
  • Phone: 305-556-4447
  • Fax: 305-556-6290
Mailing address:
  • Phone: 305-556-4447
  • Fax: 305-556-6290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: RAUL ALSINA
Title or Position: OWNER
Credential: MD
Phone: 305-556-4447