Provider Demographics
NPI:1124033998
Name:MURILLO-ALFARO, ALEKCEY (MD)
Entity type:Individual
Prefix:
First Name:ALEKCEY
Middle Name:
Last Name:MURILLO-ALFARO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7979 NW 21ST ST
Mailing Address - Street 2:SJO 4028
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33122-1616
Mailing Address - Country:US
Mailing Address - Phone:325-480-0735
Mailing Address - Fax:
Practice Address - Street 1:7979 NW 21ST ST
Practice Address - Street 2:SJO 4028
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33122-1616
Practice Address - Country:US
Practice Address - Phone:325-480-0735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN46806207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNI 11917Medicare UPIN