Lino Roberto Alfonso, PTA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PTA31245 Issued in FL

Practice address

15680 SW 88TH St Ste 201
Miami, FL 33196-1160

Phone

(305) 517-1219

Fax

(305) 203-0546

NPI assigned

Mar 14, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1902554553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15680 SW 88TH ST STE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961160",
            "telephone_number": "305-517-1219",
            "fax_number": "305-203-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15680 SW 88TH ST STE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961160",
            "telephone_number": "305-517-1219",
            "fax_number": "305-203-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFONSO",
        "first_name": "LINO",
        "middle_name": "ROBERTO",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "PTA31245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesus Ernesto Alfonso, PTA
• Jose Enrique Alfonso, CRT
• Jossue Alfonso, D.M.D.
• Justo Ramon Alfonso, AP
• Lileisy Alfonso
• Lisbet Alfonso, PHARMD
• Lourdes Alfonso, BA
• Luis J Alfonso, PHARMD CPH RPH PHD
• Maria Alfonso
• Maribel Alfonso, ARNP-MSN

• Physical Medicine & Rehabilitation Physician in Miami, FL
• Providers in Miami, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.