JORGE ALFONSO (MD) – Internal Medicine Physician, NPI 1003910654
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
12,368 INTERNAL MEDICINE in FL
Provider Addresses for JORGE ALFONSO (MD)
5814 Seven Mile Dr Ste 105
Wildwood, FL 347858869
Phone: (352) 815-5030
Fax: (352) 815-5031
Type: Location
5961 NW 173RD DR
MIAMI LAKES, FL 33015
Phone: (305) 556-7500
Fax: (305) 503-3476
Type: Location
10900 SE 174TH PLACE RD
SUMMERFIELD, FL 344918984
Phone: (352) 820-3401
Fax: (352) 820-3402
Type: Location
PMR Stronghold, 1395, Northwest 167th Street, Miami Gardens, Miami-Dade County, Florida, 33169, United States
MIAMI GARDENS, FL 331695710
Phone: (305) 628-6117
Type: Mailing
14261, Southwest 120th Street, Miami-Dade County, Florida, 33186, United States
MIAMI, FL 331867270
Phone: (305) 378-1302
Fax: (305) 383-5314
Type: Location
PO BOX 25487
SARASOTA, FL 342772487
Phone: (941) 202-5342
Fax: (877) 807-0253
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-09-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090912000159 | I | Internal Medicine | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 34785)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | FL | |
| Internal Medicine | FL | |
| Family Practice | FL | |
| Physician Assistant | VA | |
| Physician Assistant | FL | |
| Family Practice | FL | |
| Internal Medicine | FL | |
| Family Practice | FL | |
| Physician Assistant | FL | |
| N E U R O S U R G E R Y | FL |
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