Organization Active NPI

Marcelo J Alfano Psy D PA

  • Psychologist
  • Coral Gables, FL
National Provider Identifier
1376754952
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY6642 Issued in FL
Legal business name
MARCELO J ALFANO PSY D PA
Practice address
301 Almeria Ave
Suite 350
Coral Gables, FL 33134-5822
Phone
(305) 461-4702
Fax
(305) 461-4705
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Authorized official

Name
Dr. Marcelo Alfano, PSYDNPI 1992916571
Title
President
Phone
(305) 461-4702

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
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X PY6642 FL Primary

Addresses

Primary practice location

301 Almeria Ave
Suite 350
Coral Gables, FL 33134-5822

Mailing address

301 Almeria Ave
Suite 350
Coral Gables, FL 33134-5822
Phone (305) 461-4702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080711000413 FL Part B Supplier - Clinic/Group Practice 7911924287 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

301 Almeria Ave
Ste 350
Coral Gables, FL 33134
Phone (305) 461-4702

6840 SW 40th St
Ste 211A
Miami, FL 33155
Phone (305) 461-4702

4960 SW 72nd Ave
Ste 210
Miami, FL 33155
Phone (305) 461-4702

955 NW 3rd St
Miami, FL 33128
Phone (305) 416-5700

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1376754952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 ALMERIA AVE",
            "address_2": "SUITE 350",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345822",
            "telephone_number": "305-461-4702",
            "fax_number": "305-461-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 ALMERIA AVE",
            "address_2": "SUITE 350",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345822",
            "telephone_number": "305-461-4702",
            "fax_number": "305-461-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCELO J ALFANO PSY D PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "ALFANO",
        "authorized_official_first_name": "MARCELO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-461-4702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY6642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.