DR. AGUSTIN ALFONSO M.D. NPI 1508934357

NPI Information

NPI: 1508934357
Provider Name: DR. AGUSTIN ALFONSO, M.D.
Classification: Family Medicine - 207QA0505X
Entity Type: Individual

Specialization: Adult Medicine

PECOS Registration: Yes

Address:
7000 SW 97TH AVE
#208
MIAMI, FL
ZIP 33173
Phone: (305) 667-7220
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DR. Agustin Alfonso, M.D. is an adult medicine family medicine in Miami, FL. The provider is definition to come. DR. Agustin Alfonso, M.D. NPI is 1508934357. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7000 SW 97TH AVE
#208
MIAMI, FL
ZIP 33173
Phone: (305) 667-7220
Fax: (305) 667-6607

The NPI 1508934357 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/1/2006 and was last updated on 10/7/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0505X	Family Medicine	Adult Medicine	ME83617	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	262975500	MEDICAID	FLORIDA
2	P50278	MEDICARE UPIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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