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General NPI Number Information
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NPI Number | 1073123816
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Entity Type | Organization
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Legal Business Name | ALONSO MEDICAL CENTER INC
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Dates
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Enumeration Date | 08/06/2020
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 3821 SW 149TH PL
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City | MIAMI
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State | FL
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Zip | 33185-3943
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Country | US
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Telephone | 786-454-5380
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Fax |
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Provider Business Mailing Address
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Address Line | 3821 SW 149TH PL
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City | MIAMI
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State | FL
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Zip | 33185-3943
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Country | US
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Telephone | 786-454-5380
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAILYN E ALONSO PERDOMO
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Credential | RPT
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Telephone | 786-340-8377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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