| Alonso & Alonso Md Pa | |
|
719 Nw 13th Ave Miami FL 33125-3724 | |
| (305) 547-2011 | |
| (305) 547-2099 |
| Full Name | Alonso & Alonso Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 719 Nw 13th Ave, Miami, Florida |
| Authorized Official Name and Position | Daisy Alonso (OFFICE MANAGER) |
| Authorized Official Contact | 3055472011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alonso & Alonso Md Pa 719 Nw 13th Ave Miami FL 33125-3724 Ph: (305) 547-2011 | Alonso & Alonso Md Pa 719 Nw 13th Ave Miami FL 33125-3724 Ph: (305) 547-2011 |
| NPI Number | 1750509360 |
|---|---|
| Provider Enumeration Date | 04/22/2007 |
| Last Update Date | 08/18/2015 |
| Medicare PECOS PAC ID | 1355480500 |
|---|---|
| Medicare Enrollment ID | O20091201000014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750509360 | NPI | - | NPPES |
| 253984500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Leonardo Alonso |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588620470 PECOS PAC ID: 6709925951 Enrollment ID: I20100730000720 |
| Provider Name | Magaly I Alonso |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861458226 PECOS PAC ID: 7618016866 Enrollment ID: I20100811000384 |
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