Provider Demographics
NPI:1093952442
Name:ALFONSO, JAVIER EMILIO (MD)
Entity Type:Individual
Prefix:DR
First Name:JAVIER
Middle Name:EMILIO
Last Name:ALFONSO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:7392 NW 35TH TER STE 306
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33122-1260
Mailing Address - Country:US
Mailing Address - Phone:786-703-4932
Mailing Address - Fax:954-337-3776
Practice Address - Street 1:7392 NW 35TH TER STE 306
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33122-1260
Practice Address - Country:US
Practice Address - Phone:786-703-4932
Practice Address - Fax:786-558-2717
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-07
Last Update Date:2023-11-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME111392207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine