Active NPI
Rodolfo Alonso Sr., DO
- Optician
- Hialeah, FL
National Provider Identifier
1083881627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 1553
- Practice address
- 4201 Palm Ave
Hialeah, FL 33012-4424 - Phone
- (305) 558-7412
- Fax
- (305) 822-6607
- NPI assigned
- May 13, 2008
- Last updated
- May 13, 2008
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 1553 | FL | Primary |
Addresses
Primary practice location
4201 Palm Ave
Hialeah, FL 33012-4424
Mailing address
4201 Palm Avenue
Hialeah, FL 33012
Phone (305) 558-7412
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 086450100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1553 | FL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210636800000",
"number": "1083881627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 PALM AVENUE",
"city": "HIALEAH",
"state": "FL",
"postal_code": "33012",
"telephone_number": "305-558-7412",
"fax_number": "305-822-6607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 PALM AVE",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330124424",
"telephone_number": "305-558-7412",
"fax_number": "305-822-6607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALONSO",
"first_name": "RODOLFO",
"name_suffix": "Sr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-13",
"last_updated": "2008-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "FL",
"license": "1553",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "086450100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.