Individual provider Active NPI

Analucia C Alencastro, LMT

  • Specialist
  • Valrico, FL
National Provider Identifier
1265744452
Registry record updated Jul 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA58347 Issued in FL
Practice address
1806 Main St
Suite 3
Valrico, FL 33594-6726
Phone
(813) 326-6801
NPI assigned
Jul 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA58347 FL Primary

Addresses

Primary practice location

1806 Main St
Suite 3
Valrico, FL 33594-6726

Mailing address

628 Bryan Terrace Dr
Brandon, FL 33511-7560
Phone (813) 326-6801

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

State licenses

LicenseStateTypeSpecialty
MA58347FLMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1278288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278288000000",
    "number": "1265744452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 BRYAN TERRACE DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335117560",
            "telephone_number": "813-326-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 MAIN ST",
            "address_2": "SUITE 3",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335946726",
            "telephone_number": "813-326-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALENCASTRO",
        "first_name": "ANALUCIA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-05",
        "last_updated": "2010-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "MA58347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valrico, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2010; 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.