MEDICARE: ALPHA ORTHO CARE INC

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	261QP2300X	Primary Care Clinic/Center

Other Identifiers

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

General Provider Information

NPI Number	:	1932253648
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALPHA ORTHO CARE INC

Provider Business Mailing Address
First Line	:	1401 E 4TH AVE
Second Line	:	STE 104
City	:	HIALEAH
State	:	FL
Zip	:	33010-3504
Country	:	US
Telephone Number	:	305-888-9000
Fax Number	:	305-888-8269

Provider Business Practice Location Address
First Line	:	1401 E 4TH AVE
Second Line	:	STE 104
City	:	HIALEAH
State	:	FL
Zip	:	33010-3504
Country	:	US
Telephone Number	:	305-888-9000
Fax Number	:	305-888-8269

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. TULIO QUIRANTES
Credential	:
Telephone Number	:	305-888-9000

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	04/23/2009

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Directions to “ALPHA ORTHO CARE INC ” Practice Location

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