Provider Demographics
NPI:1194137497
Name:MOLINAR, ALONZO (MD)
Entity type:Individual
Prefix:DR
First Name:ALONZO
Middle Name:
Last Name:MOLINAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10175 GATEWAY BLVD W
Mailing Address - Street 2:SUITE 210
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-7618
Mailing Address - Country:US
Mailing Address - Phone:915-590-7900
Mailing Address - Fax:915-590-7902
Practice Address - Street 1:10175 GATEWAY BLVD W
Practice Address - Street 2:SUITE 210
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-7618
Practice Address - Country:US
Practice Address - Phone:915-590-7900
Practice Address - Fax:915-590-7902
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-21
Last Update Date:2019-08-27
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX208600000XOtherTAXONOMY