Provider Demographics
NPI:1669509584
Name:ALFARO, ROSARIO MARILYN (AAET)
Entity Type:Individual
Prefix:PROF
First Name:ROSARIO
Middle Name:MARILYN
Last Name:ALFARO
Suffix:
Gender:F
Credentials:AAET
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Mailing Address - Street 1:7374 SW 93 AVENUE
Mailing Address - Street 2:ST201 NEUROLOGY MOBILE SYSTEM ASSOCIATES
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173
Mailing Address - Country:US
Mailing Address - Phone:305-270-7771
Mailing Address - Fax:305-270-7775
Practice Address - Street 1:7374 SW 93RD AVE
Practice Address - Street 2:NEUROLOGY MOBILE SYSTEM ASSOC
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-5201
Practice Address - Country:US
Practice Address - Phone:305-270-7771
Practice Address - Fax:305-270-7775
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2009-11-20
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL33237OtherBCBS
FL33237OtherBCBS