MEDICARE: DR. INEZ MARIA ALFARO M.D.

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	2083P0500X	Preventive Medicine/Occupational Environmental Medicine Physician	10290	PR
2	202D00000X	Integrative Medicine Physician	ACN1526	FL
3	208D00000X	General Practice Physician	10290	PR

General Provider Information

NPI Number	:	1639297195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. INEZ MARIA ALFARO M.D.

Provider Business Mailing Address
First Line	:	967 REMINGTON GREEN DR SE BAY 32909
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32909-6911
Country	:	US
Telephone Number	:	787-286-2470
Fax Number	:	787-745-1022

Provider Business Practice Location Address
First Line	:	AVE. MUNOZ MARIN # N-8
Second Line	:	SANTA JUANA
City	:	CAGUAS
State	:	PR
Zip	:	00725
Country	:	US
Telephone Number	:	787-286-2470
Fax Number	:	787-745-1022

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	06/08/2026

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