Organization Active NPI

Nephrology Institute of South FL LLC

  • Nephrology Physician
  • Miami, FL
National Provider Identifier
1295104776
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME111392 Issued in FL
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

Updated by the provider on Nov 10, 2023

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

Authorized official

Name
Javier Emilio Alfonso, MDNPI 1093952442
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)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20160217000784 FL Part B Supplier - Clinic/Group Practice 0648575423 Receives reassigned benefits from 2 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.