Individual
RAUL ALONSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
290 W 49TH ST, HIALEAH, FL 33012-3763
(305) 824-5517
(305) 556-6005
Mailing address
15476 NW 77TH CT, # 708, MIAMI LAKES, FL 33016-5823
(305) 824-5517
(305) 556-6005
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME 0072859
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254469501
—
FL
Enumeration date
03/17/2006
Last updated
01/07/2024
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