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General NPI Number Information
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NPI Number | 1699142687
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Entity Type | Individual
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Provider Name | ALEJANDRO SERRALVO FUENTES M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/26/2015
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 383 W 34TH ST
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City | HIALEAH
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State | FL
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Zip | 33012-4309
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Country | US
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Telephone | 305-823-3312
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Fax | 786-360-2327
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Provider Business Mailing Address
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Address Line | 9240 SW 72ND ST STE 238
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City | MIAMI
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State | FL
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Zip | 33173-3264
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Country | US
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Telephone | 305-315-8289
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Fax | 305-503-8297
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME134750
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License Number State | FL
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