Active NPI
Eduardo J Alarcon, MD
- General Practice Physician
- Miami, FL
National Provider Identifier
1104873504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME44378
- Practice address
- 4960 SW 72ND Ave Ste 203
Miami, FL 33155-5549 - Phone
- (305) 479-2393
- Fax
- (305) 847-3737
- NPI assigned
- May 30, 2006
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ME44378 | FL | Primary |
Addresses
Primary practice location
4960 SW 72ND Ave Ste 203
Miami, FL 33155-5549
Mailing address
4960 SW 72ND Ave Ste 203
Miami, FL 33155-5549
Phone (305) 479-2393
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME44378 | Other | FL | MEDICAL LICENSE |
| 049797500 | 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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME44378 | FL | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576022400000",
"number": "1104873504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4960 SW 72ND AVE STE 203",
"city": "MIAMI",
"state": "FL",
"postal_code": "331555549",
"telephone_number": "305-479-2393",
"fax_number": "330-584-7373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4960 SW 72ND AVE STE 203",
"city": "MIAMI",
"state": "FL",
"postal_code": "331555549",
"telephone_number": "305-479-2393",
"fax_number": "305-847-3737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALARCON",
"first_name": "EDUARDO",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-30",
"last_updated": "2019-12-11",
"certification_date": "2019-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME44378",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "ME44378",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "049797500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.