Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexander Vladimir Chacon

Individual provider Nurse Practitioner · NPI 1578360103

Alexander Vladimir Chacon is a Nurse Practitioner in Miami, Florida. Qualified in 2024, 2 years ago. Practices with University of Miami, a 2,303-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2025
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Practice location Address checks out

1400 NW 12th Ave
Miami, FL 33136-1087
Phone: (305) 325-5511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 11036817 (FL)

Record details

NPI number1578360103
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 1, 2025
Last updated in NPPESMarch 1, 2025
Certification dateMarch 1, 2025
Mailing address19530 Sw 123rd Ct, Miami, FL 33177-4961

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice University Of Miami — 2303 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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