Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | ME86567 | FL |
N | 208000000X | Pediatrician | ME86567 | FL |
NPI | 1467495093 |
---|---|
Provider Name | Dr. Alfredo Machado |
First Address | Miami, FL 33176-8708 |
Second Address | Miami, FL 33176 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2006 |
Last Update Date | 12/06/2018 |