Provider Demographics
NPI:1053598573
Name:ALONSO MEDICAL GROUP INC.
Entity type:Organization
Organization Name:ALONSO MEDICAL GROUP INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HELVIO
Authorized Official - Middle Name:
Authorized Official - Last Name:ALONSO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-264-0282
Mailing Address - Street 1:8300 SW 8TH ST
Mailing Address - Street 2:SUITE # 301
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-4100
Mailing Address - Country:US
Mailing Address - Phone:305-264-0282
Mailing Address - Fax:305-264-0287
Practice Address - Street 1:8300 SW 8TH ST
Practice Address - Street 2:SUITE # 301
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-4100
Practice Address - Country:US
Practice Address - Phone:305-264-0282
Practice Address - Fax:305-264-0287
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-28
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME82141261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation