DR. DAVID ALEXANDER CEVALLOS M.D. NPI 1104201128

NPI Information

  • NPI: 1104201128
  • Provider Name: DR. DAVID ALEXANDER CEVALLOS, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1611 NW 12TH AVE FL 33136
    MIAMI, FL
    ZIP 33136
  • Phone: (305) 575-3388

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NPI Details

DR. David Alexander Cevallos, M.D. is a family medicine in Miami, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. David Alexander Cevallos, M.D. NPI is 1104201128. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1611 NW 12TH AVE FL 33136
MIAMI, FL
ZIP 33136
Phone: (305) 575-3388

The NPI 1104201128 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/21/2015 and was last updated on 9/2/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramFLORIDANo
2390200000XStudent in an Organized Health Care Education/Training Program13820-IPUERTO RICONo
3207Q00000XFamily MedicineME140399FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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