Martha N Alfonso O.D.P.a

Primary specialty

OptometristTaxonomy code 152W00000X

License

3313 Issued in FL

Legal business name

MARTHA N ALFONSO O.D.P.A

Practice address

366 E 4TH Ave
Hialeah, FL 33010-4998

Phone

(305) 888-9910

NPI assigned

Nov 24, 2010

Organization subpart

No

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

Authorized official

Name

Martha N Alfonso

Title

Optometrist

Phone

(305) 463-8032

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1290556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290556800000",
    "number": "1326340365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11476 NW 81ST TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331781487",
            "telephone_number": "305-463-8032",
            "fax_number": "786-360-4907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 E 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104998",
            "telephone_number": "305-888-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA N ALFONSO O.D.P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-24",
        "last_updated": "2010-11-24",
        "status": "A",
        "authorized_official_last_name": "ALFONSO",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "305-463-8032"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "3313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620507100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dariel Oscar Marti
• Milagros Martija Reyes
• Yoel Martin Carballo
• Dairon Martin Creach, M.A.

• Optometrist in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.