Provider Demographics
NPI:1457309502
Name:ALEXIS-CALIFANO, MONICA RISICATO (DPM)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:RISICATO
Last Name:ALEXIS-CALIFANO
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16526 SW 32ND ST
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-5234
Mailing Address - Country:US
Mailing Address - Phone:786-253-8878
Mailing Address - Fax:954-447-4675
Practice Address - Street 1:2135 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-3319
Practice Address - Country:US
Practice Address - Phone:305-541-4900
Practice Address - Fax:305-541-1199
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO2912213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU84710Medicare UPIN
FLE5422AMedicare ID - Type Unspecified
FLE5422ZMedicare ID - Type Unspecified