Individual provider Active NPI

Alberto Bruno Alonso, MD

  • General Practice Physician
  • Pembroke Pines, FL
National Provider Identifier
1093702136
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME83960 Issued in FL
Practice address
1800 N Douglas Rd
Pembroke Pines, FL 33024-3200
Phone
(305) 204-0333
Fax
(305) 359-7546
NPI assigned
Oct 4, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME83960 FL Primary

Addresses

Primary practice location

1800 N Douglas Rd
Pembroke Pines, FL 33024-3200

Mailing address

860 NW 42ND Ave FL 5
Miami, FL 33126-4172
Phone (305) 204-0333

Other practice location 1

3839 W 16th Ave
Hialeah, FL 33012-7002
Phone (305) 204-0333

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040909001318 FL Practitioner - General Practice 4981670940 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME83960FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Univida Medical Center LLC General Practice CurrentSince May 7, 2025 Accepting new patients
Miami Beach Medical Consultants, LLC. General Practice CurrentSince May 1, 2023 Accepting new patients
Policlinico Pastorita Inc General Practice Past Accepting new patients
Gabriel Novoa Jr MD PA General Practice Past Accepting new patients

Locations

7291 Atlantic Ave
#48
Delray Beach, FL 33446
Phone (561) 344-1130

551 E 49th St
Ste 18
Hialeah, FL 33013
Phone (305) 532-3923

3839 W 16th Ave
Hialeah, FL 33012

551 E 49th St
Hialeah, FL 33013
Phone (305) 221-4994

2417 US Highway 98 N
Lakeland, FL 33805
Phone (863) 821-0030

7500 SW 8th St
Ste 400
Miami, FL 33144

860 NW 42nd Ave
Fl 5
Miami, FL 33126
Phone (305) 504-7885

1200 Alton Rd
Miami Beach, FL 33139
Phone (305) 534-3242

1800 N Douglas Rd
Pembroke Pines, FL 33024
Phone 3052040333 ext. 40333

1400 NW 107th Ave
Ste 500
Sweetwater, FL 33172
Phone (786) 534-4285

6400 SW 8th St
West Miami, FL 33144
Phone (305) 239-2515

Interoperability endpoints

  • Direct secure messaging: aalonso@mbmg.directbygreenway.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1093702136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 NW 42ND AVE FL 5",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331264172",
            "telephone_number": "305-204-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N DOUGLAS RD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243200",
            "telephone_number": "305-204-0333",
            "fax_number": "305-359-7546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3839 W 16th Ave",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330127002",
            "country_code": "US",
            "telephone_number": "305-204-0333",
            "fax_number": "305-359-7546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALONSO",
        "first_name": "ALBERTO",
        "middle_name": "BRUNO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME83960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.