Alfredo Dejesus Dally, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME88433 Issued in FL

Practice address

5511 SW 8TH St Ste 101
Coral Gables, FL 33134-2272

Phone

(305) 269-8099

Fax

(305) 261-3250

NPI assigned

Jun 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family PracticeAlso: Hospice/Palliative Care

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Noalda Inc

  • Family Medicine Physician
  • Miami, FL
  • NPI 1437196342
  Medicare reassignment NPD Authorized official
• Dielmag Medical Services Inc

  • Family Medicine Physician
  • Miami, FL
  • NPI 1437406162
  NPD (past)
• Dielmag Medical Servicves, Inc.

  • Family Medicine Physician
  • Miami, FL
  • NPI 1255387940
  NPD (past)

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1376588061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13992 LAKE GEORGE CT",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330143043",
            "telephone_number": "305-269-8099",
            "fax_number": "305-261-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5511 SW 8TH ST STE 101",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342272",
            "telephone_number": "305-269-8099",
            "fax_number": "305-261-3250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4765 W 8th Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330123557",
            "country_code": "US",
            "telephone_number": "305-269-8099",
            "fax_number": "305-261-3250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5701 SW 107th Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331731276",
            "country_code": "US",
            "telephone_number": "305-269-8099",
            "fax_number": "305-261-3250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALLY",
        "first_name": "ALFREDO",
        "middle_name": "DEJESUS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME88433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273896100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dagoberto J Garcia Jr MD PA
• Dailys Pharmacy Inc
• Karen Dainer-Best
• Chelsea Dale
• Cedia Rosetta Dallas
• Marisa Giuliana Dalpan, AP
• Thayne Sonia Dalrymple, M.D.
• Janel Daniel, M.S, LMFT
• Daniela de Medeiros, Psy.D., PLLC
• Melissa Lynn Danies, PA-C

• Family Medicine Physician in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.