Alonso, Roberto Javier

Alonso, Roberto Javier is an sole proprietor health care provider with primary practice located at 11645 Biscayne Blvd Ste 100 , North Miami FL 33181-3155. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Alonso, Roberto Javier can be contacted via phone (305) 388-8835.

Contact Information

Primary practice address
11645 Biscayne Blvd Ste 100 North Miami FL 33181-3155
Phone: (305) 388-8835
Fax: (305) 938-4044
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9113035 Florida

Profile Details

NPI number 1972136307
LBN Legal business name Alonso, Roberto Javier
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2020
Last updated Apr 2nd, 2024 - about 8 months 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 1972136307 NPPES
Florida MEDICAID 107878300

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