Individual provider Active NPI

Tamara Alonso

  • Family Nurse Practitioner
  • North Miami Beach, FL
National Provider Identifier
1740721786
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9306636 Issued in FL
Practice address
1400 NE Miami Gardens Dr Ste 105
North Miami Beach, FL 33179-4843
Phone
(786) 610-3730
NPI assigned
Mar 9, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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 9306636 FL Primary

Addresses

Primary practice location

1400 NE Miami Gardens Dr Ste 105
North Miami Beach, FL 33179-4843

Mailing address

12513 NW 7 Lane
Miami, FL 33182
Phone (786) 985-5205

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
I20180507002504 FL Practitioner - Nurse Practitioner 6507120185 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9306636FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centrum Medical Centers Kendall, LLC CurrentSince Jul 9, 2022 Accepting new patients
Centrum Medical Holdings, LLC CurrentSince Jul 9, 2022 Accepting new patients
Centrum Medical Holdings, LLC Current Accepting new patients
Roberto Guerra MD PA Past Accepting new patients

Locations

9250 NW 36th St
Ste 420
Doral, FL 33178
Phone (786) 873-1805

3138 N Federal Hwy
Lighthouse Point, FL 33064

9894 SW 40th St
Miami, FL 33165
Phone (305) 564-9471

7200 NW 7th St
Ste 150
Miami, FL 33126
Phone (305) 264-6270

9526 NE 2nd Ave
Ste 101
Miami Shores, FL 33138
Phone (305) 694-3775

1400 NE Miami Gardens Dr
Ste 105
North Miami Beach, FL 33179
Phone (305) 974-5933

Organizations & group practices 4

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": "1489017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1740721786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12513 NW 7 LANE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33182",
            "telephone_number": "786-985-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 NE MIAMI GARDENS DR STE 105",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331794843",
            "telephone_number": "786-610-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALONSO",
        "first_name": "TAMARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-09",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9306636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.