Active NPI
Wilfred Jerome Antonio Alonso, MD
- Family Medicine Physician
- Galveston, TX
National Provider Identifier
1821292418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- BP1-0023046
- Practice address
- 301 University Blvd
Galveston, TX 77555-0462 - Phone
- (409) 772-4194
- NPI assigned
- Jun 14, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | BP1-0023046 | TX | Primary |
Addresses
Primary practice location
301 University Blvd
Galveston, TX 77555-0462
Mailing address
150 San Fernando Dr
Galveston, TX 77550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2795270641 | Other | MYUTMB 2795270641-COMMERCIAL NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP1-0023046 | TX | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188172800000",
"number": "1821292418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 SAN FERNANDO DR",
"city": "GALVESTON",
"state": "TX",
"postal_code": "77550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 UNIVERSITY BLVD",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775550462",
"telephone_number": "409-772-4194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALONSO",
"first_name": "WILFRED",
"middle_name": "JEROME ANTONIO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-14",
"last_updated": "2007-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "BP1-0023046",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MYUTMB 2795270641-COMMERCIAL NUMBER",
"identifier": "2795270641",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Galveston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.