Active NPI
Eduardo J Alarcon MD PA
- Clinic/Center
- Miami, FL
National Provider Identifier
1417595265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- EDUARDO J ALARCON MD PA
- Practice address
- 4960 SW 72ND Ave Ste 203
Miami, FL 33155-5549 - Phone
- (305) 479-2393
- Fax
- (305) 847-3737
- NPI assigned
- Dec 11, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eduardo Jose Alarcon, MD
- Title
- Owner
- Phone
- (305) 479-2393
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
4960 SW 72ND Ave Ste 203
Miami, FL 33155-5549
Mailing address
4960 SW 72ND Ave Ste 203
Miami, FL 33155-5549
Phone (305) 479-2393
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME44378 | Other | FL | MEDICAL LICENSE |
National Provider Directory
National Provider DirectoryLocations
4960 SW 72nd Ave
Ste 203
Miami, FL 33155
Phone (305) 209-2397
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Miami, FL
- NPI 1821321472
-
- Family Medicine Physician
- Miami, FL
- NPI 1386930782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576022400000",
"number": "1417595265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4960 SW 72ND AVE STE 203",
"city": "MIAMI",
"state": "FL",
"postal_code": "331555549",
"telephone_number": "305-479-2393",
"fax_number": "305-847-3737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4960 SW 72ND AVE STE 203",
"city": "MIAMI",
"state": "FL",
"postal_code": "331555549",
"telephone_number": "305-479-2393",
"fax_number": "305-847-3737"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDUARDO J ALARCON MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-11",
"last_updated": "2019-12-11",
"certification_date": "2019-12-11",
"status": "A",
"authorized_official_last_name": "ALARCON",
"authorized_official_first_name": "EDUARDO",
"authorized_official_middle_name": "JOSE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-479-2393",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "ME44378",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.