Individual provider Active NPI

Alyssa Bulnes

  • Physician Assistant
  • Hollywood, FL
National Provider Identifier
1629760509
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1150 N 35TH Ave Ste 620
Hollywood, FL 33021-5432
Phone
(954) 265-7900
NPI assigned
May 22, 2023
Last updated
Apr 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X FL Primary

Addresses

Primary practice location

1150 N 35TH Ave Ste 620
Hollywood, FL 33021-5432

Mailing address

1150 N 35TH Ave Ste 620
Hollywood, FL 33021-5432

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
I20240124001897 FL Practitioner - Physician Assistant 3779936992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Broward Hospital DistrictGroup PAC ID 8123927373, 659 clinicians

Practice addresses (Care Compare)

1150 N 35TH Ave
Hollywood, FL 33021-5431
Phone (954) 265-7900

1150 N 35TH Ave
Suite 620
Hollywood, FL 33021-5432
Phone (954) 265-7900

603 N Flamingo Rd
Pembroke Pines, FL 33028-1013
Phone (954) 265-7900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District CurrentSince Dec 19, 2023 Accepting new patients
South Broward Hospital District Single Specialty CurrentSince Dec 19, 2023 Accepting new patients

Locations

20803 Biscayne Blvd
Ste 204
Aventura, FL 33180

1150 N 35th Ave
Ste 605
Hollywood, FL 33021
Phone (954) 965-2966

1150 N 35th Ave
Ste 620
Hollywood, FL 33021
Phone (954) 612-8173

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1629760509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N 35TH AVE STE 620",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N 35TH AVE STE 620",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215432",
            "telephone_number": "954-265-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULNES",
        "first_name": "ALYSSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.