Organization Active NPI

Alfredo Melgar, MD PA

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1891047742
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ALFREDO MELGAR, MD PA
Practice address
9090 SW 87TH CT Ste 104
Miami, FL 33176-2317
Phone
(305) 223-2436
NPI assigned
Oct 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Authorized official

Name
Alfredo Melgar, M.D.NPI 1093981912
Title
President
Phone
(305) 848-3998

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X ME1027962 FL
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

9090 SW 87TH CT Ste 104
Miami, FL 33176-2317

Mailing address

8901 SW 82ND St
Miami, FL 33173-4129
Phone (305) 848-3998

Other identifiers 1

IdentifierTypeStateIssuer
006636500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121120000469 FL Part B Supplier - Clinic/Group Practice 9537310644 Receives reassigned benefits from 9 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

10000 SW 56th St
Ste 3336
Miami, FL 33165
Phone (305) 223-2436

10000 SW 56th St
#3336
Miami, FL 33165

9090 SW 87th Ct
Ste 104
Miami, FL 33176
Phone (305) 223-2436

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1891047742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 SW 82ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331734129",
            "telephone_number": "305-848-3998",
            "fax_number": "305-489-7614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9090 SW 87TH CT STE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762317",
            "telephone_number": "305-223-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFREDO MELGAR, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-02",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "MELGAR",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-848-3998",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME1027962",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006636500",
            "state": "FL"
        }
    ],
    "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 Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.