Individual provider Active NPI

Luis Arnaldo Marchany-Alfonso, M.D.

  • Psychiatry Physician
  • Weston, FL
National Provider Identifier
1447241542
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME134987 Issued in FL
Practice address
2645 Executive Park Dr Ste 330
Weston, FL 33331-3624
Phone
(954) 751-4269
Fax
(954) 686-2487
NPI assigned
Oct 30, 2005
Last updated
Nov 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 239492 NY
Psychiatry Physician 2084P0800X ME134987 FL Primary
Psychiatry Physician 2084P0800X 16217 PR
General Practice Physician 208D00000X 16217 PR

Addresses

Primary practice location

2645 Executive Park Dr Ste 330
Weston, FL 33331-3624

Mailing address

2645 Executive Park Dr Ste 330
Weston, FL 33331-3624
Phone (954) 751-4269

Other practice location 1

29 Calle Munoz Rivera
Juncos, PR 00777-3110
Phone (939) 332-0288

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20051206000529 PR Practitioner - Psychiatry 0244250249 Practice locations: Juncos, PR; Carolina, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME134987FLMDPsychiatry Physician
239492NYMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1130630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1447241542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 EXECUTIVE PARK DR STE 330",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313624",
            "telephone_number": "954-751-4269",
            "fax_number": "954-686-2487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 EXECUTIVE PARK DR STE 330",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313624",
            "telephone_number": "954-751-4269",
            "fax_number": "954-686-2487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 Calle Munoz Rivera",
            "address_purpose": "LOCATION",
            "city": "Juncos",
            "state": "PR",
            "postal_code": "007773110",
            "country_code": "US",
            "telephone_number": "939-332-0288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCHANY-ALFONSO",
        "first_name": "LUIS",
        "middle_name": "ARNALDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-30",
        "last_updated": "2020-11-17",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "239492",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME134987",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "16217",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16217",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

Verify at the official NPI Registry.