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NPI Code Detail

MEDICARE: MR. PABLO ALONSO MD

MEDICARE: MR. PABLO ALONSO MD
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
1207P00000XEmergency Medicine PhysicianME0067307FL
2208000000XPediatrics PhysicianME0067307FL
3208D00000XGeneral Practice PhysicianME67307FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700963808
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PABLO ALONSO MD
Provider Business Mailing Address
First Line : 1510 SIENA AVE CORAL GABLES FL 33146
Second Line :
City : CORAL GABLES
State : FL
Zip : 33146
Country : US
Telephone Number : 305-663-3523
Fax Number :
Provider Business Practice Location Address
First Line : 680 N UNIVERSITY DR
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33024-6738
Country : US
Telephone Number : 855-226-6633
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 04/26/2024

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Directions to “ MR. PABLO ALONSO MD” Practice Location

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