Rafael Bernard Alfonso

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN0009529 Issued in FL

Practice address

2482 SW 27TH Terrace
Miami, FL 33133

Phone

(305) 859-7949

Fax

(305) 859-9585

NPI assigned

Nov 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Camillus Health Concern Inc

  • Federally Qualified Health Center (FQHC)
  • Miami, FL
  • NPI 1861402869
  Medicare reassignment NPD
• Camillus Health Concern, Inc.

  • Federally Qualified Health Center (FQHC)
  • Miami, FL
  • NPI 1659536365
  NPD
• Southeastrern Dental Assoc, VII, PA

  • Periodontics
  • Miami, FL
  • NPI 1669703443
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1669546784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2482 SW 27TH TERRACE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33133",
            "telephone_number": "305-859-7949",
            "fax_number": "305-859-9585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2482 SW 27TH TERRACE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33133",
            "telephone_number": "305-859-7949",
            "fax_number": "305-859-9585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "336 NW 5th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331281616",
            "country_code": "US",
            "telephone_number": "305-577-4840",
            "fax_number": "305-373-7431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALFONSO",
        "first_name": "RAFAEL",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0009529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicolette Alfonso, MS, RDN, CSO
• Nuvia Alfonso
• Octavio Miguel Alfonso, NURSE PRACTITIONER
• Patricia Alfonso, APRN
• Pedro Alfonso Jr.
• Raylin M Alfonso
• Ricardo Alfonso
• Rodolfo Damian Alfonso, DC
• Rosana Alfonso
• Stacey Caridad Alfonso, RN

• General Practice Dentistry in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.