Individual
DR. AGUSTIN ALFONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7000 SW 97TH AVE, #208, MIAMI, FL 33173
(305) 667-7220
(305) 667-6607
Mailing address
7000 SW 97TH AVE, #208, MIAMI, FL 33173
(305) 667-7220
(305) 667-6607
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
ME83617
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262975500
—
FL
Enumeration date
12/01/2006
Last updated
10/07/2011
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