ALFONSO MIRELES MD – NPI #1427055532
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

ALFONSO MIRELES is a physician located in LONGWOOD, FL. NPPES has assigned the NPI number 1427055532 to ALFONSO MIRELES on July 05, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was last updated on Jun 09, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ALFONSO MIRELES below.

NPI Profile for
ALFONSO MIRELES

NPI Number
1427055532
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ALFONSO MIRELES
Credentials
MD
Primary location
521 WEST STATE ROAD 434, SUITE 101 PEDIATRIC
& ADOLESCENT MED OF SEMINOLE, IN ASSOC WITH NEMOURS
LONGWOOD, FL 32750-4952
Phone: (407) 830-5437 Fax: (407) 830-4907
1 Other location(s):
1850 SW Fountainview Blvd Ste 105
Port Saint Lucie, FL 34986-4527
Phone: (772) 336-2818
Mailing address
PO BOX 191
PROVIDER ENROLLMENT DEPARTMENT
ROCKLAND, DE 19732-0191
Phone: (302) 651-4488 Fax: (302) 651-4945
Sole Proprietor
No
Updated
Certification Date
Jun 09, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ALFONSO MIRELES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidFL'047733800
medicaidFL047733800
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
FL ME54968
208000000X
- Pediatrics
FL ME54968

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.