# ALFREDO HEVIA MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861849861
- **Authorized official:** JUAN LOPEZ (BILLING AGENT)
- **Authorized official phone:** (305) 251-3991

## Contact information

- **Practice address:** 10390 SW 97TH ST, MIAMI, FL 33176-2715
- **Practice address phone:** (718) 200-4016
- **Mailing address:** 10390 SW 97TH ST, MIAMI, FL 33176-2715

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME89871 | FL | Yes |

## Other

- **Enumeration date:** 05/19/2016
- **Last updated:** 05/19/2016