Individual provider Active NPI

Maria Sofia Condomi Alcorta, RN/RNFA/P.A.

  • Registered Nurse
  • Coral Gables, FL
National Provider Identifier
1407694417
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN9659665 Issued in FL
Practice address
416 Luenga Ave
Coral Gables, FL 33146-2822
Phone
(305) 922-4476
NPI assigned
Jul 16, 2024
Last updated
May 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3058 PR
Surgical Physician Assistant 363AS0400X 3058 PR
Registered Nurse 163W00000X RN9659665 FL Primary
Surgical Assistant 246ZC0007X 22-626 FL
Registered Nurse First Assistant 163WR0006X RN9659665 FL

Addresses

Primary practice location

416 Luenga Ave
Coral Gables, FL 33146-2822

Mailing address

416 Luenga Ave
Coral Gables, FL 33146-2822
Phone (305) 922-4476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN9659665FLMDRegistered Nurse First Assistant
22-626FLMDSurgical Assistant
3058PRMDSurgical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1407694417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 LUENGA AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462822",
            "telephone_number": "305-922-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 LUENGA AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462822",
            "telephone_number": "305-922-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDOMI ALCORTA",
        "first_name": "MARIA",
        "middle_name": "SOFIA",
        "credential": "RN/RNFA/P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-16",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "3058",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PR",
            "license": "3058",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9659665",
            "primary": true
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "22-626",
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "FL",
            "license": "RN9659665",
            "primary": false
        }
    ],
    "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 11, 2026; 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.