Provider Demographics
NPI:1467716589
Name:ALONSO, ARNALDO SR (MASSAGE THERAPY)
Entity Type:Individual
Prefix:MR
First Name:ARNALDO
Middle Name:
Last Name:ALONSO
Suffix:SR
Gender:M
Credentials:MASSAGE THERAPY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7420 SW 153RD CT
Mailing Address - Street 2:APTO107
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-1745
Mailing Address - Country:US
Mailing Address - Phone:786-306-5379
Mailing Address - Fax:
Practice Address - Street 1:7420 SW 153RD CT
Practice Address - Street 2:APTO107
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-1745
Practice Address - Country:US
Practice Address - Phone:786-306-5379
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-03
Last Update Date:2012-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA 60801225700000X
FLMA60801225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist