Active NPI
Alexei Alfonso Macias, APRN
- Family Nurse Practitioner
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11042100
- Practice address
- 2822 Woodruff Dr
Orlando, FL 32837-9192 - Phone
- (786) 780-3159
- NPI assigned
- Oct 10, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | CBHCM101972-P | FL | |
| Family Nurse Practitioner | 363LF0000X | 11042100 | FL | Primary |
Addresses
Primary practice location
2822 Woodruff Dr
Orlando, FL 32837-9192
Mailing address
2822 Woodruff Dr
Orlando, FL 32837-9192
Phone (786) 780-3159
Other practice location 1
1905 NW 82nd Ave
Doral, FL 33126-1011
Phone (786) 420-5924
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CBHCM101972-P | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2940 Mallory Cir
Suite 202
Celebration, FL 34747-1818
Phone (407) 269-8550
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CBHCM101972-P | FL | MD | Case Manager/Care Coordinator |
| 11042100 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keiler Heberto Moreno Rivero, P.a. | Current | Accepting new patients |
Locations
2954 Mallory Cir
Ste 200
Kissimmee, FL 34747
Phone (407) 238-0137
1065 N John Young Pkwy
Kissimmee, FL 34741
Phone (407) 269-8550
2940 Mallory Cir
Ste 202
Kissimmee, FL 34747
Phone (407) 269-8550
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FEAGBD
Organizations & group practices 1
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.
-
dba Moreno's Internal Medicine
- Internal Medicine Physician
- Celebration, FL
- NPI 1861974073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757808000000",
"number": "1700351384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2822 WOODRUFF DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328379192",
"telephone_number": "786-780-3159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2822 WOODRUFF DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328379192",
"telephone_number": "786-780-3159"
}
],
"practiceLocations": [
{
"address_1": "1905 NW 82nd Ave",
"address_purpose": "LOCATION",
"city": "Doral",
"state": "FL",
"postal_code": "331261011",
"country_code": "US",
"telephone_number": "786-420-5924",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALFONSO MACIAS",
"first_name": "ALEXEI",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-10",
"last_updated": "2025-09-14",
"certification_date": "2025-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "FL",
"license": "CBHCM101972-P",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11042100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CBHCM101972-P",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.