MEDICARE: AURORA SOSA ALFONSO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	171W00000X	Contractor	FL
2	222Q00000X	Developmental Therapist
3	221700000X	Art Therapist	FL

General Provider Information

NPI Number	:	1932616158
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AURORA SOSA ALFONSO

Provider Business Mailing Address
First Line	:	7815 SW 152ND AVE APT 3
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33193-2393
Country	:	US
Telephone Number	:	786-607-4364
Fax Number	:

Provider Business Practice Location Address
First Line	:	7815 SW 152ND AVE APT 3
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33193-2393
Country	:	US
Telephone Number	:	305-607-4364
Fax Number	:

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

Provider Enumeration Date	:	01/09/2018
Last Update Date	:	01/26/2026

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Directions to “ AURORA SOSA ALFONSO ” Practice Location

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