Individual provider Active NPI

Alejandro Daniel Landa Morales, APRN

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1720740392
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11015864 Issued in FL
Practice address
7150 W 20TH Ave Ste 806
Hialeah, FL 33016-5529
Phone
(305) 400-8600
Fax
(877) 221-8306
NPI assigned
Oct 11, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11015864 FL Primary

Addresses

Primary practice location

7150 W 20TH Ave Ste 806
Hialeah, FL 33016-5529

Mailing address

7400 W 20TH Ave Apt 421
Hialeah, FL 33016-1851
Phone (786) 443-1266

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
I20220211000168 FL Practitioner - Nurse Practitioner 5799178984 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11015864FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Landa Medical Center Corp CurrentSince Jan 27, 2024 Accepting new patients
Gilberto Concepcion MD PA CurrentSince Jan 20, 2022 Accepting new patients

Locations

7150 W 20th Ave
Ste 402
Hialeah, FL 33016
Phone (305) 400-8600

7000 SW 62nd Ave
Ste 600
South Miami, FL 33143
Phone (305) 284-7577

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1720740392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 W 20TH AVE APT 421",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161851",
            "telephone_number": "786-443-1266",
            "fax_number": "877-221-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 W 20TH AVE STE 806",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165529",
            "telephone_number": "305-400-8600",
            "fax_number": "877-221-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDA MORALES",
        "first_name": "ALEJANDRO",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11015864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.