Provider Demographics
NPI:1083872634
Name:ALFIE, ARIEL LEANDRO (46444 LMT)
Entity Type:Individual
Prefix:
First Name:ARIEL
Middle Name:LEANDRO
Last Name:ALFIE
Suffix:
Gender:M
Credentials:46444 LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17890 W DIXIE HWY APT 309
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-4824
Mailing Address - Country:US
Mailing Address - Phone:786-280-5552
Mailing Address - Fax:
Practice Address - Street 1:17890 W DIXIE HWY APT 309
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160-4824
Practice Address - Country:US
Practice Address - Phone:786-280-5552
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-30
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA46444225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist