Organization
KIDNEY HEALTH SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE ENRIQUE ALFONZO (MANAGING MEMBER)
(786) 370-9720
Entity
Organization
Contact information
Practice address
11501 SW 40TH ST, MIAMI, FL 33165-3313
(786) 370-9720
Mailing address
11103 NW 7TH ST APT 103, MIAMI, FL 33172-3671
(786) 370-9720
(305) 448-6268
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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