Individual provider · NPI-1

Dr. Camilo Miguel Correa Alfonso, PhD

Radiologic Technologist, Radiation Therapy · Miami, FL

NPI number1609647635
StatusActive
Last updated in NPPESJan 9, 2024

Details

NPI
1609647635
Entity type
Individual (NPI-1)
Name
Dr. Camilo Miguel Correa Alfonso
Credential
PhD
Sex
Male
Sole proprietor
No
Enumeration date
Jan 9, 2024
Certification date
Jan 9, 2024
Last updated
Jan 9, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2471R0002X Radiologic Technologist, Radiation Therapy––Yes

Practice location

1475 Nw 12th Ave
Miami, FL 33136-1002

Phone 305-243-4210 · Fax 305-243-4363

Mailing address

2506 Lansing Cir
Pearland, TX 77584-9145

Phone 786-609-2254

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