Individual provider Active NPI

Alfonso J Henriquez, M.D.

  • Pediatrics Physician
  • West Palm Beach, FL
National Provider Identifier
1851449995
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME98652 Issued in FL
Practice address
2640 Forest Hill Blvd
West Palm Beach, FL 33406-5931
Phone
(561) 275-7100
Fax
(561) 275-7199
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME98652 FL Primary

Addresses

Primary practice location

2640 Forest Hill Blvd
West Palm Beach, FL 33406-5931

Mailing address

2640 Forest Hill Blvd
West Palm Beach, FL 33406-5931
Phone (561) 275-7100

Other practice location 1

6239 Lake Worth Rd
Greenacres, FL 33463-3003
Phone (561) 593-3525

Other practice location 2

3319 S State Road 7 Ste 109
Wellington, FL 33449-8099
Phone (561) 798-5437

Other practice location 3

683 SW Port St Lucie Blvd
Port St Lucie, FL 34953-1998
Phone (772) 204-2909

Other practice location 4

801 Meadows Rd Ste 116118
Boca Raton, FL 33486-2346
Phone (561) 338-9615

Other identifiers 1

IdentifierTypeStateIssuer
290226100MedicaidFL

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

LicenseStateTypeSpecialty
ME98652FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Suramed Health Center, PA Pediatrics Past Accepting new patients
Suramed Health Center, PA Pediatrics Past Accepting new patients
Suramed Health Center, PA Pediatrics Past Accepting new patients
Suramed Health Center, PA Pediatrics Past Accepting new patients
Suramed Health Center, PA Pediatrics Past Accepting new patients

Organizations & group practices 5

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1851449995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 FOREST HILL BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065931",
            "telephone_number": "561-275-7100",
            "fax_number": "561-275-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 FOREST HILL BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065931",
            "telephone_number": "561-275-7100",
            "fax_number": "561-275-7199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6239 Lake Worth Rd",
            "address_purpose": "LOCATION",
            "city": "Greenacres",
            "state": "FL",
            "postal_code": "334633003",
            "country_code": "US",
            "telephone_number": "561-593-3525",
            "fax_number": "561-964-4050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3319 S State Road 7 Ste 109",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "FL",
            "postal_code": "334498099",
            "country_code": "US",
            "telephone_number": "561-798-5437",
            "fax_number": "561-798-7726",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "683 SW Port St Lucie Blvd",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349531998",
            "country_code": "US",
            "telephone_number": "772-204-2909",
            "fax_number": "772-785-8138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 Meadows Rd Ste 116118",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334862346",
            "country_code": "US",
            "telephone_number": "561-338-9615",
            "fax_number": "561-338-9616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRIQUEZ",
        "first_name": "ALFONSO",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME98652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290226100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.