Ivo Alonso Md Pa | |
3934 Sw 8th St Ste 207 Coral Gables FL 33134-2949 | |
(305) 448-7499 | |
(305) 448-5061 |
Full Name | Ivo Alonso Md Pa |
---|---|
Speciality | General Practice |
Location | 3934 Sw 8th St Ste 207, Coral Gables, Florida |
Authorized Official Name and Position | Ivo Alonso (PRES) |
Authorized Official Contact | 3054487499 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Ivo Alonso Md Pa 3934 Sw 8th St Ste 207 Coral Gables FL 33134-2949 Ph: (305) 448-7499 | Ivo Alonso Md Pa 3934 Sw 8th St Ste 207 Coral Gables FL 33134-2949 Ph: (305) 448-7499 |
NPI Number | 1215139712 |
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Provider Enumeration Date | 06/05/2007 |
Last Update Date | 09/09/2011 |
Medicare PECOS PAC ID | 1355508185 |
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Medicare Enrollment ID | O20120207000548 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215139712 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | ME82269 (Florida) | Primary |
Provider Name | Ivo Alonso |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1306839980 PECOS PAC ID: 8123920766 Enrollment ID: I20040123000286 |
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