Organization Active NPI

Wiltz Medical Group Inc

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1043427743
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WILTZ MEDICAL GROUP INC
Practice address
1401 SW 107TH Ave
Suite 301J
Miami, FL 33174-2524
Phone
(305) 223-9800
Fax
(305) 223-9810
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Othon H Wiltz, MD
Title
President
Phone
(305) 554-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1401 SW 107TH Ave
Suite 301J
Miami, FL 33174-2524

Mailing address

1401 SW 107TH Ave
Suite 301J
Miami, FL 33174-2524
Phone (305) 223-9800

National Provider Directory

National Provider Directory

Locations

10562 SW 8th St
Miami, FL 33174
Phone (305) 554-8888

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1043427743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 SW 107TH AVE",
            "address_2": "SUITE 301J",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742524",
            "telephone_number": "305-223-9800",
            "fax_number": "305-223-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 SW 107TH AVE",
            "address_2": "SUITE 301J",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742524",
            "telephone_number": "305-223-9800",
            "fax_number": "305-223-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILTZ MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "WILTZ",
        "authorized_official_first_name": "OTHON",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-554-8888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.