Octavio Miguel Alfonso, NURSE PRACTITIONER

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN9243092 Issued in FL

Practice address

1951 NW 7TH Ave Ste 300
Miami, FL 33136-1112

Phone

(305) 902-6347

Fax

(727) 306-8033

NPI assigned

Dec 22, 2017

Last updated

Sep 11, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 2

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Public Health Trust of Miami Dade County FloridaGroup PAC ID 0244380434, 469 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.01 of 100Reported as group

Quality

72.99

Promoting interoperability

82

Improvement activities

40

Cost

78.71

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Public Health Trust of Miami Dade County Florida

  dba JMG Specialty Physicians

  • General Practice Physician
  • Miami, FL
  • NPI 1134384423
  Medicare reassignment Care Compare group NPD
• Brave Health Inc.

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1821588674
  Medicare reassignment NPD
• Public Health Trust of Miami Dade County Florida

  dba PHT/JHS-JMH Hospitalists

  • Hospitalist Physician
  • Miami, FL
  • NPI 1043395460
  Medicare reassignment NPD
• Public Health Trust of Miami Dade County Florida

  dba Jackson North Community Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Opa Locka, FL
  • NPI 1063417483
  Medicare reassignment NPD
• Rational Psych Care Corp

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
  • NPI 1174292130
  Authorized official Same address or phone
• Behavioral Collaborative Care Solutions, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami, FL
  • NPI 1487196010
  NPD
• Public Health Trust of Dade County Florida

  dba JMG at Jackson Medical Pavilion

  • General Practice Physician
  • Coral Gables, FL
  • NPI 1548900178
  NPD
• Public Health Trust of Miami Dade County Florida

  dba JMH Community Mental Health Outpatient Clinics

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami, FL
  • NPI 1366514705
  NPD
• Public Health Trust of Miami Dade County Florida

  • Urgent Care Clinic/Center
  • Miami Beach, FL
  • NPI 1578418232
  NPD
• Public Health Trust of Miami Dade County Florida

  • General Practice Physician
  • Hialeah, FL
  • NPI 1841149093
  NPD

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

{
    "created_epoch": "1513900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631318400000",
    "number": "1881100121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 NW 53RD ST STE 337",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331664791",
            "telephone_number": "305-901-4344",
            "fax_number": "866-480-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 NW 7TH AVE STE 300",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361112",
            "telephone_number": "305-902-6347",
            "fax_number": "727-306-8033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9333 SW 152nd St",
            "address_purpose": "LOCATION",
            "city": "Palmetto Bay",
            "state": "FL",
            "postal_code": "331571778",
            "country_code": "US",
            "telephone_number": "305-256-5310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9010 SW 137th Ave Ste 111",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331861437",
            "country_code": "US",
            "telephone_number": "305-671-3503",
            "fax_number": "305-671-3505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7950 NW 53rd St Ste 337",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331664791",
            "country_code": "US",
            "telephone_number": "305-901-4344",
            "fax_number": "866-480-9591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALFONSO",
        "first_name": "OCTAVIO",
        "middle_name": "MIGUEL",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-22",
        "last_updated": "2021-09-11",
        "certification_date": "2021-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9243092",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9243092",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9243092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109440600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "EHR",
            "affiliation": "N",
            "endpointDescription": "OfficeAlly",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7950 NW 53rd St Ste 337",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331664791",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "EHR",
            "affiliation": "N",
            "endpointDescription": "OfficeAlly",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7950 NW 53rd St Ste 337",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331664791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mildred Alfonso, OTR/L
• Naivy Fatima Alfonso, ARNP
• Nery Alfonso, LPN
• Nicolette Alfonso, MS, RDN, CSO
• Nuvia Alfonso
• Patricia Alfonso, APRN
• Pedro Alfonso Jr.
• Rafael Bernard Alfonso
• Raylin M Alfonso
• Ricardo Alfonso

• Psychiatric/Mental Health Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.