Lourdes Angeles Alfonso, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

4301080618 Issued in MI

Practice address

261 Mack Ave
Rehabilitation Institute of Michigan
Detroit, MI 48201-2417

Phone

(313) 745-4600

Fax

(313) 745-1063

NPI assigned

Jun 1, 2006

Last updated

Oct 14, 2016By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Rehabilitation Institute of Michigan

  • Rehabilitation Clinic/Center
  • Detroit, MI
  • NPI 1982779260
  NPD (past)
• Outpatient Rehab. Centers of N.Y.

  dba Center for Rehabilitation@Bronx

  • Physical Medicine & Rehabilitation Physician
  • Bronx, NY
  • NPI 1215958764
  NPD (past)

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1720025323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 E MAPLE RD",
            "address_2": "SUITE 400-CREDENTIALING",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831138",
            "telephone_number": "313-745-4600",
            "fax_number": "313-745-1063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 MACK AVE",
            "address_2": "REHABILITATION INSTITUTE OF MICHIGAN",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012417",
            "telephone_number": "313-745-4600",
            "fax_number": "313-745-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFONSO",
        "first_name": "LOURDES",
        "middle_name": "ANGELES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301080618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Souad Alfaraj, PMHNP-BC
• Khalid Abdullah Alfares
• Teresa Maria Alfau Hernandez, M.D.
• Hanan Mohamed Omar Alfeggi, MD
• Cristina Laker Alfieri, M.D.
• Alfonzo Smith LLC
• Deidre Alford
• Lawience Alford
• Monroe Alford, MA
• Alfords Express LLC

• Physical Medicine & Rehabilitation Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.