Individual provider Active NPI

Manuel Eloy Alonso, MD

  • Diagnostic Radiology Physician
  • Miami, FL
National Provider Identifier
1609858190
Registry record updated Dec 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
40277 Issued in FL
Practice address
8900 N Kendall Dr
Miami, FL 33176-2118
Phone
(786) 596-1960
NPI assigned
Nov 18, 2005
Last updated
Dec 26, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 40277 FL Primary

Addresses

Primary practice location

8900 N Kendall Dr
Miami, FL 33176-2118

Mailing address

2555 Ponce de Leon Blvd
4TH Floor
Coral Gables, FL 33134-6010
Phone (305) 446-4681

Other identifiers 1

IdentifierTypeStateIssuer
053139100MedicaidFL

Other names 1

  • Manuel E Alonso Other name

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
40277FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Miami Blood Flow Associates LLC Diagnostic Radiology Past Accepting new patients
Orlando Puente MD PA Past Accepting new patients
South Miami Blood Flow Assoc LLC Diagnostic Radiology Past Accepting new patients
Aponte S Medical Inc Past Accepting new patients

Organizations & group practices 4

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": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419552000000",
    "number": "1609858190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 PONCE DE LEON BLVD",
            "address_2": "4TH FLOOR",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346010",
            "telephone_number": "305-446-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 N KENDALL DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762118",
            "telephone_number": "786-596-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALONSO",
        "first_name": "MANUEL",
        "middle_name": "ELOY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2014-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "40277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "053139100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANUEL",
            "last_name": "ALONSO",
            "middle_name": "E",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 26, 2014; 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.