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ALFONSO JOSE GUDINO VILLARREAL MD
NPI 1780410829
Student in an Organized Health Care Education/Training Program in Miami, FL

Active since September 13, 2024
1611 NW 12TH AVE, MIAMI, FL 33136(305) 243-3670 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Alfonso Jose Gudino Villarreal Md NPPES

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

ALFONSO JOSE GUDINO VILLARREAL MD (NPI 1780410829) is an individual student in an organized health care education/training program in Miami, Florida, licensed in Florida (TRN41326) and active in the NPI registry since September 2024. He maintains a secondary practice location in Brighton.

NPPES Registry Identity

NPI1780410829
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameALFONSO JOSE GUDINO VILLARREALCredential: MD
Location Address1611 NW 12TH AVEMiami, FL 33136-1005
Mailing Address9016 Sw 158th Ave Apt 4101Miami, FL 33196-3195 · (786) 863-2355
Phone(305) 243-3670
Sole ProprietorNo
Enumeration DateSeptember 13, 2024
Last NPPES UpdateJune 15, 2026
NPPES CertifiedJune 15, 2026
✔ NPI 1780410829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Licenses✔ Licensed in FL · TRN41326✔ Licensed in MA · 3020318
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1611 NW 12TH AVE, Miami, FL 33136
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Secondary Practice Location 1

Location 111 Nevins St Ste 303Brighton, MA 02135-3514 · Phone (617) 787-8181 · Fax (617) 787-4644

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.

KAREN CHITTY MD
Emergency Medicine
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-6913
MS. DEBRA JEANNE DIAZ CRNA
Nurse Anesthetist, Certified Registered
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-8684
VALERIE DIAZ CRNA
Nurse Anesthetist, Certified Registered
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-6586
DR. SCOTT KOHL DO
Emergency Medicine
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (954) 709-0966
MISS NATASHA ELISE ROBINSON PHARM.D.
Pharmacist (Pharmacotherapy)
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-7096
DR. JAY B.B. BLAKE PHARM.D.
Pharmacist (Pharmacotherapy)
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-7195
DR. CAMERON DEZFULIAN MD
Pediatrics (Pediatric Critical Care Medicine)
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-1111
DR. GINA ELIZABETH WHITE PHARM.D.
Pharmacist (Pharmacotherapy)
1611 NW 12TH AVE, PHARMACY DEPARTMENT
MIAMI, FL 33136
Miami-Dade County (305) 585-8906

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alfonso Gudino Villarreal's NPI number?

The NPI number for Alfonso Gudino Villarreal is 1780410829. It was assigned to this individual provider in the NPPES registry on September 13, 2024.

Where is Alfonso Gudino Villarreal located?

Alfonso Gudino Villarreal practices at 1611 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 243-3670.

What is Alfonso Gudino Villarreal's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Alfonso Gudino Villarreal was last updated on June 15, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.