Healthcare Provider Details

I. General information

NPI: 1790653491
Provider Name (Legal Business Name): MIAMI NEUROPSYCHOLOGIST, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2025
Last Update Date: 10/25/2025
Certification Date: 10/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4155 SW 98TH CT
MIAMI FL
33165-5154
US

IV. Provider business mailing address

4155 SW 98TH CT
MIAMI FL
33165-5154
US

V. Phone/Fax

Practice location:
  • Phone: 305-761-7144
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State

VIII. Authorized Official

Name: EDUARDO ALSINA
Title or Position: OWNER AND NEUROPSYCHOLOGIST
Credential: PHD
Phone: 305-761-7144