Healthcare Provider Details

I. General information

NPI: 1255783171
Provider Name (Legal Business Name): MICHAEL ALOSILLA GALLEGOS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2016
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4631 N CONGRESS AVE STE 200
WEST PALM BEACH FL
33407-3234
US

IV. Provider business mailing address

1475 W 49TH PL
HIALEAH FL
33012-3113
US

V. Phone/Fax

Practice location:
  • Phone: 561-296-3851
  • Fax: 561-296-1101
Mailing address:
  • Phone: 305-558-2500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberME163397
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: