Alfonso, Octavio Miguel

Alfonso, Octavio Miguel is an individual health care provider with primary practice located at 1951 Nw 7Th Ave Ste 300 , Miami FL 33136-1112. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Alfonso, Octavio Miguel can be contacted via phone (305) 902-6347.

Contact Information

Primary practice address
1951 Nw 7Th Ave Ste 300 Miami FL 33136-1112
Phone: (305) 902-6347
Fax: (727) 306-8033
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9243092 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 9243092 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN9243092 Florida

Profile Details

NPI number 1881100121
LBN Legal business name Alfonso, Octavio Miguel
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2017
Last updated Sep 11th, 2021 - about 3 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 1881100121 NPPES
Florida MEDICAID 109440600

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