Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JOSE A ALVAREZ-FUENTES MD
NPI 1265469266
Pediatrics in Coral Gables, FL

Q: What is Jose Alvarez-fuentes's NPI number?

The NPI number for Jose Alvarez-fuentes is 1265469266. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Q: What is Jose Alvarez-fuentes's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since June 26, 2006PECOS Enrolled

5955 PONCE DE LEON BLVD, CORAL GABLES, FL 33146(305) 661-1515(305) 662-3723 Get Directions Write a Review

NPPES record last updated: September 25, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 25, 2026, Mar 21, 2018 (2 updates tracked since 2018).

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About Jose A Alvarez-fuentes Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSE A ALVAREZ-FUENTES MD (NPI 1265469266) is an individual pediatrics provider in Coral Gables, Florida, licensed in Florida (ME74887) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Miami.

NPPES Registry Identity

NPI1265469266

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameJOSE A ALVAREZ-FUENTESCredential: MD

Location Address5955 PONCE DE LEON BLVDCoral Gables, FL 33146-2423

Mailing Address5955 Ponce De Leon BlvdCoral Gables, FL 33146-2423 · (305) 661-1515

Phone(305) 661-1515

Fax(305) 662-3723

Sole ProprietorNo

Enumeration DateJune 26, 2006

Last NPPES UpdateSeptember 25, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 25, 2026

✔ NPI 1265469266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in FL · ME74887

Definition

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.

5955 PONCE DE LEON BLVD, Coral Gables, FL 33146

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Secondary Practice Location 1

Location 11601 NW 12th Ave, Box 016960 M851Miami, FL 33101-6960 · Phone (305) 243-4029 · Fax (305) 243-8470

Other Identifiers 2

Medicaid254670100FL

Medicaid2546701-00FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jose A Alvarez-fuentes Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jose Alvarez-fuentes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Miami

4.5 mi

Internal Medicine

8932 SW 97TH AVE
Miami, FL 33176

Reassigned Medicare billing, Florida enrollment
3,639 clinicians in this Medicare group

NPI 1912956566 (305) 243-7688

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33146 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.13 typical visit price

range $60.92 – $187.05

Typical copayment $24.03 (range $15.23 – $46.76)

Most-billed visit code 99203

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. NAURI ESTEFANI ABREU ROA M.D.

Pediatrics (Neonatal-Perinatal Medicine)