Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1427055532 Individual Practitioner Male Practitioner

Dr. Alfonso Mireles , MD

General Practice • Longwood, FL

Professional Overview & Biography Verified Profile Summary

Dr. Alfonso Mireles, MD is a registered healthcare professional specializing in General Practice in Longwood, FL. Practice services are available at 521 WEST STATE ROAD 434, SUITE 101 PEDIATRIC under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

521 West State Road 434, Suite 101 Pediatric
& Adolescent Med Of Seminole, In Assoc With Nemours

Longwood, FL 327504952

Telephone 4078305437
Fax 4078304907
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Longwood, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.3 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
13 Specialists

Practicing in Longwood, FL (2490 Statewide)

Telehealth Adoption Rate
23.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-09
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ME54968

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

Pediatrics

NUCC Taxonomy Code: 208000000X

State License FL ME54968

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
047733800 (FL)
Medicaid State Provider ID
'047733800 (FL)

Secondary Practice Locations

1850 Sw Fountainview Blvd Ste 105

Port Saint Lucie, FL 349864527

Phone: 7723362818

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Joan Farmer , ARNP

Nurse Practitioner - Pediatrics

NPI 1104059666

Advanced Registered Nurse Practitioner

Lakoscia Harris , ARNP

Nurse Practitioner - Pediatrics

NPI 1316327729

Advanced Registered Nurse Practitioner

NPI 1326219767

Doctor of Medicine (M.D.)

Dr. Cristy Wong , MD

General Practice

NPI 1639302169

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 09, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 09, 2014

Registered at 521 WEST STATE ROAD 434, SUITE 101 PEDIATRIC, & ADOLESCENT MED OF SEMINOLE, IN ASSOC WITH NEMOURS, LONGWOOD, FL 327504952 (Tel: 4078305437)

📍
Updated Business Mailing Address October 09, 2014

Registered at PO BOX 191, PROVIDER ENROLLMENT DEPARTMENT, ROCKLAND, DE 197320191 (Tel: 3026514488)

👤
Provider Name / Credentials Updated October 09, 2014

Recorded as ALFONSO MIRELES, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2014

Pediatrics (License #ME54968 in FL)

🟢
Initial NPI Registration & Enumeration July 05, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1427055532
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 05, 2005
Last Update: June 09, 2025
Sole Proprietor: No

Mailing Address

Po Box 191, Provider Enrollment Department

Rockland, DE 197320191

Phone: 3026514488

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.