Individual provider · NPI-1
Roberto Alfonso
Social Worker · Palmetto Bay, FL
NPI number1952970295
StatusActive
Last updated in NPPESJun 22, 2021
Details
- NPI
- 1952970295
- Entity type
- Individual (NPI-1)
- Name
- Roberto Alfonso
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 22, 2021
- Certification date
- Jun 22, 2021
- Last updated
- Jun 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | – | – | Yes |
Practice location
15924 Sw 92nd AvePalmetto Bay, FL 33157-1842
Phone 305-964-5824 · Fax 786-452-1200
Mailing address
15924 Sw 92nd AvePalmetto Bay, FL 33157-1842
Phone 305-964-5824 · Fax 786-452-1200
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