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Individual

DR. JUAN CARLOS ALONSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6221 NW 36TH STREET, MIAMI, FL 33166
(305) 871-3627
Mailing address
4483 N.W. 36TH STREET, SUITE 120, MIAMI, FL 33166
(305) 888-7555

Taxonomy

Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
ACN1162
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
M18463
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
02/06/2013
Last updated
09/19/2019
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