Individual
MR. ALONSO FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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