Active NPI
Renzo Alderete, APRN
- Nurse Practitioner
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2025028133
- Practice address
- 1611 NW 12TH Ave
Miami, FL 33136-1005 - Phone
- (305) 585-1111
- NPI assigned
- Oct 25, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2025028133 | MO | Primary |
| Critical Care Medicine Nurse Practitioner | 363LC0200X | APRN9497937 | FL | |
| Nurse Practitioner | 363L00000X | APRN9497937 | FL |
Addresses
Primary practice location
1611 NW 12TH Ave
Miami, FL 33136-1005
Mailing address
4212 Van Buren St
Hollywood, FL 33021-7236
Phone (305) 546-1935
Other practice location 1
1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone (314) 617-2000
Other practice location 2
1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-4225
Other practice location 3
3663 S Miami Ave
Miami, FL 33133-4253
Phone (305) 285-2771
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104964400 | Medicaid | FL | |
| UE168 | Other | FL | MEDICARE HF |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone (314) 617-2000
1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-1401
2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700
3663 S Miami Ave
Miami, FL 33133-4253
Phone (615) 272-8900
601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-2570
699 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3562
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9497937 | FL | MD | Nurse Practitioner |
| 2025028133 | MO | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Multi-Specialty | Current | Accepting new patients |
| Health First Medical Group, LLC | Multi-Specialty | Current | Accepting new patients |
| SSM Health Care Group | Multi-Specialty | Current | Accepting new patients |
| Health First Medical Group, LLC | Multi-Specialty | Current | Accepting new patients |
| SSM Health Care Group | Multi-Specialty | Current | Accepting new patients |
Locations
699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771
1201 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 257-8222
10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- renzo.alderete@hca4.eclinicaldirectplus.com
- ralderete5608364@adventhealth.direct-ci.com
- ralderete27984@epicdirect.hf.org
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
Multi-Specialty
-
- General Practice Physician
- Melbourne, FL
- NPI 1750626495
Multi-Specialty
-
- Specialist
- Aventura, FL
- NPI 1629019062
-
- Diagnostic Radiology Physician
- Miami, FL
- NPI 1073859484
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
- General Practice Physician
- Rockledge, FL
- NPI 1073268934
Multi-Specialty
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
- General Acute Care Hospital
- Plantation, FL
- NPI 1063466589
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
-
- General Acute Care Hospital
- Plantation, FL
- NPI 1144274317
-
- General Acute Care Hospital
- Miami, FL
- NPI 1023387479
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1942685920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761523200000",
"number": "1003383381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4212 VAN BUREN ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330217236",
"telephone_number": "305-546-1935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 NW 12TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361005",
"telephone_number": "305-585-1111"
}
],
"practiceLocations": [
{
"address_1": "1201 S Grand Blvd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631041016",
"country_code": "US",
"telephone_number": "314-617-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1350 Hickory St",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329013224",
"country_code": "US",
"telephone_number": "321-434-4225",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3663 S Miami Ave",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331334253",
"country_code": "US",
"telephone_number": "305-285-2771",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALDERETE",
"first_name": "RENZO",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-25",
"last_updated": "2025-10-27",
"certification_date": "2025-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "2025028133",
"primary": true
},
{
"code": "363LC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Critical Care Medicine",
"state": "FL",
"license": "APRN9497937",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN9497937",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104964400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE HF",
"identifier": "UE168",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.