Individual provider Active NPI

Joel Dorce Alexandre, M.D.

  • Family Medicine Physician
  • Port Saint Lucie, FL
National Provider Identifier
1104384999
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME72586 Issued in FL
Practice address
1362 SW Bayshore Blvd
Port Saint Lucie, FL 34983-2929
Phone
(772) 873-5213
Fax
(772) 873-5215
NPI assigned
Mar 11, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME72586 FL Primary

Addresses

Primary practice location

1362 SW Bayshore Blvd
Port Saint Lucie, FL 34983-2929

Mailing address

1701 SW Garnet St
Port Saint Lucie, FL 34953-1406
Phone (318) 541-9390

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 Medicine

State licenses

LicenseStateTypeSpecialty
ME72586FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Connect Healthcare Services LLC PastSince Sep 4, 2025 Accepting new patients
Grema Medical Services, LLC PastSince Jun 1, 2016 Accepting new patients

Organizations & group practices 2

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": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1104384999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SW GARNET ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349531406",
            "telephone_number": "318-541-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1362 SW BAYSHORE BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349832929",
            "telephone_number": "772-873-5213",
            "fax_number": "772-873-5215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDRE",
        "first_name": "JOEL",
        "middle_name": "DORCE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME72586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.