Provider Demographics
NPI:1730331943
Name:ALFONSO, LUIS (CPA)
Entity type:Individual
Prefix:MR
First Name:LUIS
Middle Name:
Last Name:ALFONSO
Suffix:
Gender:M
Credentials:CPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ANDREAS CT # 370
Mailing Address - Street 2:VIVIANA E-22
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976-7804
Mailing Address - Country:US
Mailing Address - Phone:787-226-5135
Mailing Address - Fax:787-766-4448
Practice Address - Street 1:ANDREAS CT # 370
Practice Address - Street 2:VIVIANA E-22
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976-7804
Practice Address - Country:US
Practice Address - Phone:787-226-5135
Practice Address - Fax:787-766-4448
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1424831171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor