Most Relevant Information
Provider Data
| NPI Number: | 1003430539 |
| Provider Name: | IVETTE ALFONSO CAA |
| Entity Type: | Individual |
| Taxonomy Code: | 367H00000X |
| Specialty: | Anesthesiologist Assistant |
| License Number: | AA573 |
Most Important Dates
| Enumeration Date: | 06/01/2020 |
| Last Updated: | 06/01/2020 |
Provider Practice Location
8950 N KENDALL DR
MIAMI
FL
331762144
Practice Location Phone/Fax
| Phone: | 7865963621 |
| Fax: |
Provider Mailing Location
14881 SW 158TH ST
MIAMI
FL
331870608
Provider Mailing Phone/Fax
| Phone: | 3055629382 |
| Fax: |