Organization Active NPI

Delilah Alonso MD PA

  • Dermatology Physician
  • South Miami, FL
National Provider Identifier
1053522904
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME84776 Issued in FL
Legal business name
DELILAH ALONSO MD PA
Practice address
6705 SW 57TH Ave
Suite 518
South Miami, FL 33143-3622
Phone
(305) 403-1181
Fax
(305) 403-1230
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Delilah Alonso, MDNPI 1720098916
Title
Owner
Phone
(305) 403-1181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X ME84776 FL Primary

Addresses

Primary practice location

6705 SW 57TH Ave
Suite 518
South Miami, FL 33143-3622

Mailing address

6705 SW 57TH Ave
Suite 518
South Miami, FL 33143-3622
Phone (305) 403-1181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050825000702 FL Part B Supplier - Clinic/Group Practice 3274564695 Receives reassigned benefits from 2 practitioners
Practice locations: South Miami, FL

National Provider Directory

National Provider Directory

Locations

7950 NW 53rd St
Ste 112
Miami, FL 33166
Phone (305) 403-1205

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1053522904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6705 SW 57TH AVE",
            "address_2": "SUITE 518",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433622",
            "telephone_number": "305-403-1181",
            "fax_number": "305-403-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6705 SW 57TH AVE",
            "address_2": "SUITE 518",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433622",
            "telephone_number": "305-403-1181",
            "fax_number": "305-403-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELILAH ALONSO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "ALONSO",
        "authorized_official_first_name": "DELILAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-403-1181",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME84776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.