Alfonso Professional Medical Ctr

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

MA 42956 Issued in FL

Legal business name

ALFONSO PROFESSIONAL MEDICAL CTR

Practice address

11180 W Flagler Street
Ste 13
Miami, FL 33174-1215

Phone

(305) 480-8473

Fax

(305) 480-8472

NPI assigned

May 6, 2009

Last updated

May 6, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Juan Carlos Alfonso, MA

Title

Owner

Phone

(305) 480-8473

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241568000000",
    "number": "1518191576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11180 W FLAGLER ST",
            "address_2": "STE 13",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331741216",
            "telephone_number": "305-480-8473",
            "fax_number": "305-480-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11180 W FLAGLER STREET",
            "address_2": "STE 13",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331741215",
            "telephone_number": "305-480-8473",
            "fax_number": "305-480-8472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFONSO PROFESSIONAL MEDICAL CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-06",
        "last_updated": "2009-05-06",
        "status": "A",
        "authorized_official_last_name": "ALFONSO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-480-8473",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "MA 42956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA DEPT OF HEALTH",
            "identifier": "MA 42956",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ileana Alfonso Oliva
• Lisset Alfonso Pena
• Rayselis Alfonso Penate
• Elvis Alfonso Perez
• Yenisleidys Alfonso Prado
• Dianelys Alfonso Quesada
• Akemi Alfonso Reguera
• Alfonso Rehabilitation Center, Inc.
• Edith Odalys Alfonso Rios, APRN
• Aneivis M Alfonso Rivero

• Physical Therapy Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.