MEDICARE: MR. ALEXIS JOSE BECEIRO CRNA

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	ARNP3293282	FL

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	U6627Z	OTHER	FL	MEDICARE

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	G3976	OTHER		BCBS
4	Q69833	OTHER	FL	UPIN
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1659356129
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ALEXIS JOSE BECEIRO CRNA

Provider Business Mailing Address
First Line	:	1410 SW 99TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33174-2804
Country	:	US
Telephone Number	:	305-710-9775
Fax Number	:

Provider Business Practice Location Address
First Line	:	5352 LINTON BLVD
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-6514
Country	:	US
Telephone Number	:	561-495-3282
Fax Number	:	561-637-5459

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/07/2005
Last Update Date	:	12/13/2025

5352 LINTON BLVD STE 100
DELRAY BEACH, FL
33484-6514

Practice Phone: 561-498-2249
Practice Fax: 561-498-0320