Organization Active NPI

Alfa Medical Center Corp.

  • General Practice Physician
  • Palmetto Bay, FL
National Provider Identifier
1639030729
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ALFA MEDICAL CENTER CORP.
Practice address
9245 SW 158TH LN Unit 201202
Palmetto Bay, FL 33157-1804
Phone
(786) 804-3882
NPI assigned
Nov 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Authorized official

Name
Dayana Revuelta
Title
President
Phone
(786) 804-3882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

9245 SW 158TH LN Unit 201202
Palmetto Bay, FL 33157-1804

Mailing address

9245 SW 158TH LN Unit 201202
Palmetto Bay, FL 33157-1804
Phone (786) 804-3882

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260207000763 FL Part B Supplier - Clinic/Group Practice 4789163031 Receives reassigned benefits from 4 practitioners
Practice locations: Palmetto Bay, FL

National Provider Directory

National Provider Directory
Tax ID family
Alfa Medical Center Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1763510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1639030729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9245 SW 158TH LN UNIT 201202",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571804",
            "telephone_number": "786-804-3882",
            "fax_number": "786-524-3836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9245 SW 158TH LN UNIT 201202",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571804",
            "telephone_number": "786-804-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFA MEDICAL CENTER CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-19",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "REVUELTA",
        "authorized_official_first_name": "DAYANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-804-3882"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.