Provider Demographics
NPI:1639959463
Name:ALONSO, PAULINA PIA (DDS)
Entity Type:Individual
Prefix:
First Name:PAULINA
Middle Name:PIA
Last Name:ALONSO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 SW 22ND RD
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33129-1920
Mailing Address - Country:US
Mailing Address - Phone:786-247-5424
Mailing Address - Fax:
Practice Address - Street 1:20161 SW 127TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33177-5117
Practice Address - Country:US
Practice Address - Phone:305-709-1090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-29
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN28541122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist