Miami Gastro LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

MIAMI GASTRO LLC

Practice address

925 NE 30TH Ter Ste 308
Homestead, FL 33033-7614

Phone

(305) 974-4822

Fax

(509) 420-9737

NPI assigned

Jun 1, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Danny J Avalos, M.D.NPI 1154664118

Title

Owner

Phone

(305) 974-4822

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Danny Juan Avalos, M.D.

  • Gastroenterology Physician
  • Fort Myers, FL
  • NPI 1154664118
  Medicare reassignment NPD Authorized official
• Irma Barbara Velazquez Salcedo, ARNP

  • Nurse Practitioner
  • Hialeah, FL
  • NPI 1245992098
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590969600000",
    "number": "1033733563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800640",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332800640",
            "telephone_number": "305-974-4822",
            "fax_number": "509-420-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 NE 30TH TER STE 308",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337614",
            "telephone_number": "305-974-4822",
            "fax_number": "509-420-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI GASTRO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-01",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A",
        "authorized_official_last_name": "AVALOS",
        "authorized_official_first_name": "DANNY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-974-4822",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101941600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "administrative@miamigastros.com",
            "affiliation": "N",
            "address_1": "925 NE 30th Ter Ste 308",
            "city": "Homestead",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330337614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mi Viejo Solalf Corp.
• Miami Beach Medical Consultants LLC
• Miami Bridge Youth & Family Services, Inc.
• Miami Dade Health and Rehabilitation Services
• Miami Dietitians Group Inc
• Miami Hematology and Oncology Associates LLC
• Miami Management Services Corp
• Miami Pharmacy & Discount Inc
• Miami Systemic Solutions Inc
• Miami Vamc

• Gastroenterology Physician in Homestead, FL
• Providers in Homestead, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.