Individual
STACEY CARIDAD ALFONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1611 NW 12TH AVE FL 33136, MIAMI, FL 33136-1096
(305) 585-1111
Mailing address
9769 SW 92ND TER, MIAMI, FL 33176-1801
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9505145
FL
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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