Healthcare Provider Details

I. General information

NPI: 1669509584
Provider Name (Legal Business Name): ROSARIO MARILYN ALFARO AAET
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 11/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7374 SW 93RD AVE NEUROLOGY MOBILE SYSTEM ASSOC
MIAMI FL
33173-5201
US

IV. Provider business mailing address

7374 SW 93 AVENUE ST201 NEUROLOGY MOBILE SYSTEM ASSOCIATES
MIAMI FL
33173
US

V. Phone/Fax

Practice location:
  • Phone: 305-270-7771
  • Fax: 305-270-7775
Mailing address:
  • Phone: 305-270-7771
  • Fax: 305-270-7775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZE0600X
TaxonomyElectroneurodiagnostic Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: