Provider Demographics
NPI:1396389094
Name:ALFONSO, YIOVANNI (MSN, APRN,FNP-C)
Entity Type:Individual
Prefix:DR
First Name:YIOVANNI
Middle Name:
Last Name:ALFONSO
Suffix:
Gender:M
Credentials:MSN, APRN,FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 NW 10TH AVE APT 1801
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1035
Mailing Address - Country:US
Mailing Address - Phone:786-488-4908
Mailing Address - Fax:
Practice Address - Street 1:1400 NW 10TH AVE APT 1801
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1035
Practice Address - Country:US
Practice Address - Phone:786-488-4908
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-05
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11004938363LP2300X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care