Healthcare Provider Details

I. General information

NPI: 1447310412
Provider Name (Legal Business Name): ALIANZA MEDICAL OFFICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 12/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11200 W FLAGLER ST SUITE#212
MIAMI FL
33174-4210
US

IV. Provider business mailing address

11200 W FLAGLER ST SUITE#212
MIAMI FL
33174-4210
US

V. Phone/Fax

Practice location:
  • Phone: 786-253-8115
  • Fax:
Mailing address:
  • Phone: 786-253-8115
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170100000X
TaxonomyPh.D. Medical Genetics
License Number
License Number State

VIII. Authorized Official

Name: ALINA MUNOZ
Title or Position: PRESIDENT
Credential:
Phone: 786-253-8115