Individual provider Active NPI

Alexei Alfonso Macias, APRN

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1700351384
Registry record updated Sep 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11042100 Issued in FL
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

Updated by the provider on Sep 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
CBHCM101972-PMedicaidFL

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
I20260122000851 FL Practitioner - Nurse Practitioner 7911484886 Reassigns benefits to 1 organization

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
Keiler Heberto Moreno Rivero, P.aGroup PAC ID 6002153145, 14 clinicians

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

LicenseStateTypeSpecialty
CBHCM101972-PFLMDCase Manager/Care Coordinator
11042100FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Keiler Heberto Moreno Rivero, P.a. CurrentSince Dec 15, 2025 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.