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General NPI Number Information
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NPI Number | 1235452970
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Entity Type | Organization
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Legal Business Name | ALFREDO G. PUJOL, M.D., P.A.
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Dates
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Enumeration Date | 03/09/2010
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Last Update Date | 06/29/2010
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Provider Practice Location Address
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Address Line | 4201 PALM AVE SUITE 2B
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City | HIALEAH
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State | FL
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Zip | 33012-4424
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Country | US
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Telephone | 305-825-0701
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Fax | 305-826-0052
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Provider Business Mailing Address
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Address Line | 4201 PALM AVE SUITE 2B
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City | HIALEAH
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State | FL
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Zip | 33012-4424
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Country | US
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Telephone | 305-825-0701
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Fax | 305-826-0052
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALFREDO G PUJOL
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Credential | M.D.
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Telephone | 305-825-0701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME0044805
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License Number State | FL
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