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

Mrs. Maydibis Blanco Alonso

Individual provider Mental Health Counselor · NPI 1083208599

Mrs. Maydibis Blanco Alonso is a Nurse Practitioner in Hollywood, Florida. Qualified in 2020, 6 years ago. Practices as a sole proprietor, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

5555 Hollywood Blvd Ste 300
Hollywood, FL 33021-6469
Phone: (786) 380-8375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14460 Sw 50th Ter, Miami, FL 33175-5038 — (786) 380-8375

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 2023208874 (FL)
Mental Health Counselor Taxonomy 101YM0800X
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 11010046 (FL)

Record details

NPI number1083208599
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 24, 2021
Last updated in NPPESJuly 18, 2025
Certification dateJuly 18, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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