Provider Demographics
NPI:1548295603
Name:ALFONSO, RODOLFO DAMIAN (DC)
Entity type:Individual
Prefix:DR
First Name:RODOLFO
Middle Name:DAMIAN
Last Name:ALFONSO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8585 SUNSET DRIVE, SUITE 102
Mailing Address - Street 2:SUNSET CHIROPRACTIC & WELLNESS
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143
Mailing Address - Country:US
Mailing Address - Phone:305-275-7474
Mailing Address - Fax:305-275-7473
Practice Address - Street 1:8585 SUNSET DRIVE
Practice Address - Street 2:SUITE 102
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143
Practice Address - Country:US
Practice Address - Phone:305-275-7474
Practice Address - Fax:305-275-7473
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8989111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor