Alejandro J Forcelledo

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

9281187 Issued in FL

Practice address

12633 SW 54TH St
Miramar, FL 33027-5491

Phone

(786) 316-5874

NPI assigned

Nov 27, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Context Medical Group, Inc.

  • Family Medicine Physician
  • Hialeah, FL
  • NPI 1053366971
  NPD
• Medivital Health Center LLC

  • Primary Care Clinic/Center
  • Hialeah, FL
  • NPI 1528855343
  NPD

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1164992632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12633 SW 54TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330275491",
            "telephone_number": "786-316-5874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12633 SW 54TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330275491",
            "telephone_number": "786-316-5874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORCELLEDO",
        "first_name": "ALEJANDRO",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-27",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9281187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "9281187",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frances Biakeh Fonyam
• Foot and Ankle Institute, PA
• For Eyes Optical Co, Inc
• For Eyes Optical Co. of Coconut Grove
• For Eyes Optical Inc
• Sandra Fornos
• Antonelle Forte
• Framework Medical LLC
• Francelot Moise MD PA
• Harry Hans Francios, PHD., DHM., ND

• Nurse Practitioner in Miramar, FL
• Providers in Miramar, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.