Individual
RICARDO VALDES ALFONSO JR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14863 SW 139 CT, MIAMI, FL 33196-4679
(305) 305-2390
Mailing address
14863 SW 139 CT, MIAMI, FL 33196
(305) 305-2390
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
04/21/2017
Last updated
04/21/2017
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