Madelen Alonso, D.D.S.

Individual provider Active NPI Dentist · Village of Palmetto Bay, FL

NPI 1013058247 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1013058247
Entity type
Individual (NPI type 1)
Primary specialty
Dentist 122300000X
License
DN16653 (FL)
Practice address
7835 SW 158TH Ter
Village of Palmetto Bay, FL 33157-2330
Phone
(786) 388-1554
NPI assigned
Feb 9, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240106000112 FL Order and Referring Only - Dentist
Practitioner - Dentist
5597067405

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN16653 FL Yes

Addresses

Primary practice location

7835 SW 158TH Ter
Village of Palmetto Bay, FL 33157-2330

Mailing address

7835 SW 158TH Ter
Village of Palmetto Bay, FL 33157-2330
Phone (786) 388-1554

Other names

  • Madelen Alonso Former name

Other providers in Village of Palmetto Bay, FL

All providers in Village of Palmetto Bay, FL · Dentist in Florida

Sources for this page

Verify at the official NPI Registry.