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Alfa Illescas, MSOTR/L

NPI 1316176969 · on the registry since 2009 · sole proprietor

Practice

Address
12400 Sw 72nd St
Miami, FL 33183
Phone
(305) 760-6570
Fax
(305) 412-6464
Clinicians at this address
3

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-07-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida