Healthcare Provider Details

I. General information

NPI: 1528287083
Provider Name (Legal Business Name): MONES ALHAMBRA FAMILY PRACTICE CENTER PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2007
Last Update Date: 08/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2645 SW 37TH AVE SUITE 502
MIAMI FL
33133-2754
US

IV. Provider business mailing address

2645 SW 37TH AVE SUITE 502
MIAMI FL
33133-2754
US

V. Phone/Fax

Practice location:
  • Phone: 305-448-8134
  • Fax: 305-445-2691
Mailing address:
  • Phone: 305-448-8134
  • Fax: 305-445-2691

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number5931283
License Number StateFL

VIII. Authorized Official

Name: DR. HARRIS H MONES
Title or Position: PRESIDENT
Credential: DO
Phone: 305-448-8134