Individual provider Active NPI

Alfonso Alfonso, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1861964322
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11000080 Issued in FL
Practice address
7306 SW 117TH Ave
Miami, FL 33183-3804
Phone
(305) 220-0220
Fax
(877) 370-4783
NPI assigned
Dec 21, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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 11000080 FL Primary

Addresses

Primary practice location

7306 SW 117TH Ave
Miami, FL 33183-3804

Mailing address

10341 SW 212TH St
Cutler Bay, FL 33189-3001
Phone (305) 491-1536

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11000080FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mendoza Medical Center Corp CurrentSince Dec 1, 2024 Accepting new patients

Locations

14324 SW 264th St
Unit 400
Homestead, FL 33032
Phone (305) 562-9824

Organizations & group practices 1

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": "1545350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1861964322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10341 SW 212TH ST",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331893001",
            "telephone_number": "305-491-1536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7306 SW 117TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331833804",
            "telephone_number": "305-220-0220",
            "fax_number": "877-370-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFONSO",
        "first_name": "ALFONSO",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-21",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11000080",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 23, 2024; 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.