Active NPI
Nephrology Institute of South FL LLC
- Nephrology Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- ME111392
- Legal business name
- NEPHROLOGY INSTITUTE OF SOUTH FL LLC
- Practice address
- 7392 NW 35TH Ter Ste 306
Miami, FL 33122-1260 - Phone
- (786) 703-4932
- Fax
- (954) 337-3776
- NPI assigned
- Sep 15, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Javier Emilio Alfonso, MD
- Title
- Owner
- Phone
- (786) 703-4932
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ME111392 | FL | Primary |
Addresses
Primary practice location
7392 NW 35TH Ter Ste 306
Miami, FL 33122-1260
Mailing address
8210 SW 12TH Ter
Miami, FL 33144-4330
Other practice location 1
4061 Bonita Beach Rd Ste 102
Bonita Springs, FL 34134-4073
Phone (956) 536-2076
Other practice location 2
7371 SW 24th St
Miami, FL 33155-1402
Phone (305) 265-4441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9240 Bonita Beach Rd SE
Ste 2217
Bonita Springs, FL 34135
Phone (239) 908-4711
4061 Bonita Beach Rd
Ste 102
Bonita Springs, FL 34134
Phone (239) 301-0105
Networks
- HealthSun Health Plans Network
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Miami, FL
- NPI 1093952442
-
- Family Medicine Physician
- Miami, FL
- NPI 1447935333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442275200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699574400000",
"number": "1295104776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8210 SW 12TH TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331444330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7392 NW 35TH TER STE 306",
"city": "MIAMI",
"state": "FL",
"postal_code": "331221260",
"telephone_number": "786-703-4932",
"fax_number": "954-337-3776"
}
],
"practiceLocations": [
{
"address_1": "4061 Bonita Beach Rd Ste 102",
"address_purpose": "LOCATION",
"city": "Bonita Springs",
"state": "FL",
"postal_code": "341344073",
"country_code": "US",
"telephone_number": "956-536-2076",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7371 SW 24th St",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331551402",
"country_code": "US",
"telephone_number": "305-265-4441",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NEPHROLOGY INSTITUTE OF SOUTH FL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-15",
"last_updated": "2023-11-10",
"certification_date": "2023-11-10",
"status": "A",
"authorized_official_last_name": "ALFONSO",
"authorized_official_first_name": "JAVIER",
"authorized_official_middle_name": "EMILIO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "786-703-4932",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "FL",
"license": "ME111392",
"primary": true
}
],
"identifiers": [],
"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 Nov 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.