Healthcare Provider Details

I. General information

NPI: 1659356129
Provider Name (Legal Business Name): ALEXIS JOSE BECEIRO CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/07/2005
Last Update Date: 12/13/2025
Certification Date: 12/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5352 LINTON BLVD
DELRAY BEACH FL
33484-6514
US

IV. Provider business mailing address

1410 SW 99TH AVE
MIAMI FL
33174-2804
US

V. Phone/Fax

Practice location:
  • Phone: 561-495-3282
  • Fax: 561-637-5459
Mailing address:
  • Phone: 305-710-9775
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberARNP3293282
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: