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NPI Code Detail

MEDICARE: IVO ALONSO MD PA

MEDICARE: IVO ALONSO MD PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice PhysicianME82269FL

General Provider Information

NPI Number : 1215139712
Entity Type Code : Organization
Provider Name (Legal Business Name) : IVO ALONSO MD PA
Provider Business Mailing Address
First Line : 3934 SW 8TH ST STE 207
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-2949
Country : US
Telephone Number : 305-448-7499
Fax Number : 305-448-5061
Provider Business Practice Location Address
First Line : 3934 SW 8TH ST STE 207
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-2949
Country : US
Telephone Number : 305-448-7499
Fax Number : 305-448-5061
Authorized Official
Title or Position : PRES
Name : DR. IVO ALONSO
Credential : MD
Telephone Number : 305-448-7499
Provider Enumeration Date : 06/05/2007
Last Update Date : 09/09/2011

Similar Medicare Providers

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3934 SW 8TH ST , SUITE 207
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1568407864 — ORESTES FERNANDEZ CANO MD PA
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1083728091 — NEW WAY REAHBILITATION CENTER, INC
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1689767766 — GABLES PROFESSIONAL MEDICAL GROUP INC
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1396964789 — DR. AGUSTIN GONZALEZ D.D.S.
Practice Location Address:
3934 SW 8TH ST , SUITE 305
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1285845883 — DR. ANA ISABEL GONZALEZ-GILVER D.D.S.
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Directions to “IVO ALONSO MD PA ” Practice Location

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