MEDICARE: ALDARFLORIDAUSAINC

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
1	261QR0208X	Mobile Radiology Clinic/Center

General Provider Information

NPI Number	:	1306088869
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALDARFLORIDAUSAINC

Provider Business Mailing Address
First Line	:	2075 SW 27TH AVE
Second Line	:	SUITE 101
City	:	MIAMI
State	:	FL
Zip	:	33145-2540
Country	:	US
Telephone Number	:	305-798-0145
Fax Number	:	305-854-5968

Provider Business Practice Location Address
First Line	:	2075 SW 27TH AVE
Second Line	:	SUITE 101
City	:	MIAMI
State	:	FL
Zip	:	33145-2540
Country	:	US
Telephone Number	:	305-798-0145
Fax Number	:	305-854-5968

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JUAN M ALONSO
Credential	:	RCS
Telephone Number	:	305-798-0145

Provider Enumeration Date	:	03/30/2009
Last Update Date	:	03/30/2009

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Directions to “ALDARFLORIDAUSAINC ” Practice Location

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