Organization · NPI-2

Alfonso Health Medical Center INC

Community/Behavioral Health · Hialeah, FL

NPI number1760065387
StatusActive
Last updated in NPPESMay 2, 2021

Details

NPI
1760065387
Entity type
Organization (NPI-2)
Legal business name
Alfonso Health Medical Center INC
Organization subpart
No
Enumeration date
May 2, 2021
Certification date
May 2, 2021
Last updated
May 2, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

777 E 25th St Ste 304
Hialeah, FL 33013-3849

Phone 786-362-6935

Mailing address

777 E 25th St Ste 304
Hialeah, FL 33013-3849

Phone 786-362-6935

Authorized official

Yumar Alfonso Montes De Oca
President
7863626935

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