Organization Active NPI

Alfonso Alf, Inc.

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1730476045
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL11816 Issued in FL
Legal business name
ALFONSO ALF, INC.
Practice address
17010 SW 100TH Ave
Miami, FL 33157-4300
Phone
(305) 528-6482
NPI assigned
Jul 7, 2011
Last updated
Jul 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2011

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

Authorized official

Name
Mrs. Ana Alfonso
Title
Owner
Phone
(305) 220-4449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL11816 FL Primary

Addresses

Primary practice location

17010 SW 100TH Ave
Miami, FL 33157-4300

Mailing address

17010 SW 100TH Ave
Miami, FL 33157-4300
Phone (305) 528-6482

Other identifiers 1

IdentifierTypeStateIssuer
001747300MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309996800000",
    "number": "1730476045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17010 SW 100TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331574300",
            "telephone_number": "305-528-6482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17010 SW 100TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331574300",
            "telephone_number": "305-528-6482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFONSO ALF, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-07",
        "last_updated": "2011-07-07",
        "status": "A",
        "authorized_official_last_name": "ALFONSO",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-220-4449",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001747300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.