Alfonso, Agustin

Alfonso, Agustin is an individual health care provider with primary practice located at 7000 Sw 97Th Ave #208, Miami FL 33173. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Alfonso, Agustin can be contacted via phone (305) 667-7220.

Contact Information

Primary practice address
7000 Sw 97Th Ave #208 Miami FL 33173
Phone: (305) 667-7220
Fax: (305) 667-6607
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X ME83617 Florida

Profile Details

NPI number 1508934357
LBN Legal business name Alfonso, Agustin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated Oct 7th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508934357 NPPES
Florida MEDICAID 262975500

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