Individual
MR. ALONSO FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 S MAIN ST, BELLE GLADE, FL 33430-4998
(561) 992-4357
(561) 952-1805
Mailing address
12171 SW 268TH ST, HOMESTEAD, FL 33032-8001
(305) 278-0200
(305) 851-4110
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
M0403
TX
208D00000X
General Practice Physician
Primary
ME106360
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171756301
—
TX
01
—
8S0882
BLUE CROSS BLUE SHIELD
TX
Enumeration date
03/09/2006
Last updated
10/08/2020
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