Edna Alfonso-Vega, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 13215 Issued in FL

Practice address

4230 SW 152ND Ave
Miami, FL 33185-5252

Phone

(305) 485-5547

Fax

(305) 485-5528

NPI assigned

Jul 12, 2007

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1689873549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15766 SW 46TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331853806",
            "telephone_number": "305-220-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 SW 152ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855252",
            "telephone_number": "305-485-5547",
            "fax_number": "305-485-5528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFONSO-VEGA",
        "first_name": "EDNA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 13215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liliana Cecilia Alfonso Tur
• Mabel Alfonso Valle, ARNP
• Yuliet Alfonso Zaldivar, DH
• Jorge Alfonso-Cepeda, MD
• Lucia Alfonso-Orue
• Adrianna Michelle Alfonso, APRN
• Agustin Alfonso, M.D.
• Alberto Nicolas Alfonso, APRN
• Alfonso Alfonso, APRN
• Anamary Alfonso, OTR

• 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 Jul 12, 2007; 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.