Provider Demographics
NPI:1215307780
Name:ALBERTO, JOSE (MS)
Entity type:Individual
Prefix:
First Name:JOSE
Middle Name:
Last Name:ALBERTO
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7442 W 34TH LN
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018-1796
Mailing Address - Country:US
Mailing Address - Phone:786-838-1642
Mailing Address - Fax:
Practice Address - Street 1:7442 W 34TH LN
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33018-1796
Practice Address - Country:US
Practice Address - Phone:786-838-1642
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-28
Last Update Date:2015-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health