Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | ME72685 | FL |
NPI | 1043223902 |
---|---|
Provider Name | Dr. Carlos M Alonso |
First Address | Miami, FL 33133-4225 |
Second Address | Miami, FL 33133-4225 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2006 |
Last Update Date | 09/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
263068100 | (05) | FL |
G86441 | (02) | FL |