Provider Demographics
NPI:1700190188
Name:MADELEINE RODRIGUEZ-ALONSO MD PA
Entity Type:Organization
Organization Name:MADELEINE RODRIGUEZ-ALONSO MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:MADELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ-ALOSNO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-596-5656
Mailing Address - Street 1:10281 SUNSET DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3025
Mailing Address - Country:US
Mailing Address - Phone:305-596-5656
Mailing Address - Fax:305-596-5233
Practice Address - Street 1:10281 SUNSET DR
Practice Address - Street 2:SUITE 101
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3025
Practice Address - Country:US
Practice Address - Phone:305-596-5656
Practice Address - Fax:305-596-5233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-28
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0072855207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty