Individual provider Active NPI

Ivo Alonso, M.D

  • General Practice Physician
  • Coral Gables, FL
National Provider Identifier
1306839980
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME82269 Issued in FL
Practice address
3934 SW 8TH St
Suite 207
Coral Gables, FL 33134-2949
Phone
(305) 448-7499
Fax
(305) 448-5061
NPI assigned
Aug 29, 2005
Last updated
Mar 11, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Specialties & licenses 1

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

Addresses

Primary practice location

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

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
258068302MedicaidFL

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040123000286 FL Practitioner - General Practice 8123920766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME82269FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ivo Alonso MD PA General Practice CurrentSince Sep 29, 2011 Accepting new patients
Las Mercedes Medical Center Inc Past Accepting new patients
Acevedo Medical Care Group Inc General Practice PastSince Feb 18, 2013 Accepting new patients

Locations

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

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1306839980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3934 SW 8TH ST",
            "address_2": "SUITE 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",
            "address_2": "SUITE 207",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342949",
            "telephone_number": "305-448-7499",
            "fax_number": "305-448-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALONSO",
        "first_name": "IVO",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-29",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME82269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258068302",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.