Healthcare Provider Details

I. General information

NPI: 1649184516
Provider Name (Legal Business Name): TIFFANIE ALONSO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11289 SW 17TH CT
MIRAMAR FL
33025-6601
US

IV. Provider business mailing address

11289 SW 17TH CT
MIRAMAR FL
33025-6601
US

V. Phone/Fax

Practice location:
  • Phone: 305-904-2526
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSI9176
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: