Healthcare Provider Details

I. General information

NPI: 1427476795
Provider Name (Legal Business Name): ALEC PENICHE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2014
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3663 S MIAMI AVE
MIAMI FL
33133-4253
US

IV. Provider business mailing address

1393 18TH AVE
SAN FRANCISCO CA
94122-1807
US

V. Phone/Fax

Practice location:
  • Phone: 305-285-2771
  • Fax:
Mailing address:
  • Phone: 305-632-4435
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberME176170
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME176170
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: