Individual
RODOLFO ALONSO SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4201 PALM AVE, HIALEAH, FL 33012-4424
(305) 558-7412
(305) 822-6607
Mailing address
4201 PALM AVENUE, HIALEAH, FL 33012
(305) 558-7412
(305) 822-6607
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1553
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086450100
—
FL
Enumeration date
05/13/2008
Last updated
05/13/2008
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