Odelkys Alonso Lago, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11025939 Issued in FL

Practice address

9015 NW 183Rd St
Hialeah, FL 33018-6569

Phone

(786) 413-7045

NPI assigned

Apr 21, 2023

Last updated

Apr 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Odelkys Alonso Lago Professional name

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JHGACD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ezra Medical LLC

  • Internal Medicine Physician
  • Hollywood, FL
  • NPI 1285404962
  Medicare reassignment NPD
• Domus Care Solutions

  • Geriatric Medicine (Internal Medicine) Physician
  • Weston, FL
  • NPI 1285264093
  NPD

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

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1225725989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9015 NW 183RD ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330186569",
            "telephone_number": "786-413-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9015 NW 183RD ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330186569",
            "telephone_number": "786-413-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALONSO LAGO",
        "first_name": "ODELKYS",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-21",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11025939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ODELKYS",
            "last_name": "ALONSO LAGO",
            "prefix": "DR.",
            "credential": "APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Shabely Alonso de la Fuente
• Lilisbet Alonso Fuentes
• Lyes Lenay Alonso Garcia
• Rosalba Alonso Gonzalez
• Miladys Alonso Lafferte
• Yadira Alonso Lopez
• Juan C Alonso Marrero, SLPA
• Estela B Alonso Marro
• Rosalina Alonso Nunez
• Grettel Alonso Paula

• Family Nurse Practitioner in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.