Individual provider Active NPI

Gustavo Marques Alonso, ARNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1518364363
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9237460 Issued in FL
Practice address
711 NW 23Rd Ave Ste 305
Miami, FL 33125-3395
Phone
(786) 383-6256
NPI assigned
Nov 21, 2014
Last updated
Feb 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9237460 FL Primary
Clinical Social Worker 1041C0700X CBHCMS0100408 FL

Addresses

Primary practice location

711 NW 23Rd Ave Ste 305
Miami, FL 33125-3395

Mailing address

1451 NW 31St Ave
Miami, FL 33125-1938
Phone (786) 383-6256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150724009798 FL Practitioner - Nurse Practitioner 1951614643 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CBHCMS0100408FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Amos R Menendez Mdpa CurrentSince Mar 28, 2022 Accepting new patients

Locations

711 NW 23rd Ave
Ste 305
Miami, FL 33125
Phone (305) 541-3881

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1518364363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 NW 31ST AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251938",
            "telephone_number": "786-383-6256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 NW 23RD AVE STE 305",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253395",
            "telephone_number": "786-383-6256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUES ALONSO",
        "first_name": "GUSTAVO",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-21",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9237460",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "CBHCMS0100408",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.