Active NPI
Alvaro Jose Altamirano, M.D
- Family Medicine Physician
- Miami Lakes, FL
National Provider Identifier
1003118555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME109107
- Practice address
- 15225 NW 77TH Ave
Miami Lakes, FL 33014-7804 - Phone
- (305) 230-4821
- Fax
- (888) 498-3163
- NPI assigned
- Dec 2, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME109107 | FL | Primary |
Addresses
Primary practice location
15225 NW 77TH Ave
Miami Lakes, FL 33014-7804
Mailing address
4353 NW 77TH Ave FL 3
Miami, FL 33166-6736
Phone (305) 204-0333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003306400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME109107 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Family Physicians, LLC | Past | Accepting new patients |
Networks
- FL HMO D-SNP
- FL HMO C-SNP
- FL HMO
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JIIICD/Endpoint/JIIICD
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Service Clinic/Center
- Hialeah, FL
- NPI 1821123639
-
- General Practice Physician
- West Miami, FL
- NPI 1487321774
-
- General Practice Physician
- Orlando, FL
- NPI 1912579673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1003118555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4353 NW 77TH AVE FL 3",
"city": "MIAMI",
"state": "FL",
"postal_code": "331666736",
"telephone_number": "305-204-0333",
"fax_number": "305-359-7546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15225 NW 77TH AVE",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330147804",
"telephone_number": "305-230-4821",
"fax_number": "888-498-3163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTAMIRANO",
"first_name": "ALVARO",
"middle_name": "JOSE",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-12-02",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME109107",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003306400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.