Organization Active NPI

Ivo Alonso MD PA

  • General Practice Physician
  • Coral Gables, FL
National Provider Identifier
1215139712
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME82269 Issued in FL
Legal business name
IVO ALONSO MD PA
Practice address
3934 SW 8TH St Ste 207
Coral Gables, FL 33134-2949
Phone
(305) 448-7499
Fax
(305) 448-5061
NPI assigned
Jun 5, 2007
Last updated
Sep 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Authorized official

Name
Dr. Ivo Alonso, MDNPI 1306839980
Title
Pres
Phone
(305) 448-7499

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME82269 FL Primary

Addresses

Primary practice location

3934 SW 8TH St Ste 207
Coral Gables, FL 33134-2949

Mailing address

3934 SW 8TH St Ste 207
Coral Gables, FL 33134-2949
Phone (305) 448-7499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120207000548 FL Part B Supplier - Clinic/Group Practice 1355508185 Receives reassigned benefits from 1 practitioner
Practice locations: Coral Gables, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1020630Ivo Alonso MD PA3934 SW 8TH St Ste 207, Coral Gables, FL 33134Certificate of waiverDec 23, 2027

National Provider Directory

National Provider Directory

Locations

3934 SW 8th St
Ste 207
Coral Gables, FL 33134
Phone (305) 448-6959

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315526400000",
    "number": "1215139712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3934 SW 8TH ST STE 207",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342949",
            "telephone_number": "305-448-7499",
            "fax_number": "305-448-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3934 SW 8TH ST STE 207",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342949",
            "telephone_number": "305-448-7499",
            "fax_number": "305-448-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVO ALONSO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2011-09-09",
        "status": "A",
        "authorized_official_last_name": "ALONSO",
        "authorized_official_first_name": "IVO",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "305-448-7499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME82269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.