MEDICARE: REYNALDO H. ALONSO, M.D.P.C.

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	207R00000X	Internal Medicine Physician	191962-1	NY

General Provider Information

NPI Number	:	1548367196
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REYNALDO H. ALONSO, M.D.P.C.

Provider Business Mailing Address
First Line	:	345 W END AVE
Second Line	:	#4A
City	:	NEW YORK
State	:	NY
Zip	:	10024-6825
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2426 EASTCHESTER RD
Second Line	:	2ND FLOOR SUITE 204
City	:	BRONX
State	:	NY
Zip	:	10469-5916
Country	:	US
Telephone Number	:	718-231-7872
Fax Number	:	718-231-7469

Authorized Official
Title or Position	:	P.C.
Name	:	DR. REYNALDO H ALONSO
Credential	:	M.D.
Telephone Number	:	718-231-7872

Provider Enumeration Date	:	09/17/2006
Last Update Date	:	04/09/2008

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