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NPI Code Detail

MEDICARE: JUAN C ALONSO MARRERO SLPA

MEDICARE:   JUAN C ALONSO MARRERO  SLPA
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
1235Z00000XSpeech-Language Pathologist6057FL

General Provider Information

NPI Number : 1376351114
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUAN C ALONSO MARRERO SLPA
Provider Business Mailing Address
First Line : 18965 NW 62ND AVE APT 111
Second Line :
City : HIALEAH
State : FL
Zip : 33015-5056
Country : US
Telephone Number : 786-355-0653
Fax Number :
Provider Business Practice Location Address
First Line : 18965 NW 62ND AVE APT 111
Second Line :
City : HIALEAH
State : FL
Zip : 33015-5056
Country : US
Telephone Number : 786-355-0653
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2024
Last Update Date : 12/26/2024

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Directions to “ JUAN C ALONSO MARRERO SLPA” Practice Location

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