North Gables Foot Clinic Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO2666 Issued in FL

Legal business name

NORTH GABLES FOOT CLINIC INC

Practice address

4540 NW 7TH St
Miami, FL 33126-2307

Phone

(305) 461-3448

NPI assigned

Dec 26, 2006

Organization subpart

No

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

Authorized official

Name

Ricardo ReyesNPI 1790742930

Title

MD

Phone

(305) 461-3448

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

North Gables Foot Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• North Gables Foot Clinic

  • Durable Medical Equipment & Medical Supplies
  • Miami, FL
  • NPI 1629451273
  NPD tax ID
• North Gables Foot Clinic

  • Podiatrist
  • Miami, FL
  • NPI 1851492664
  NPD tax ID

Networks

• HealthSun Health Plans Network

Practitioners 1

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

• Ricardo Reyes, DPM

  • Podiatrist
  • Miami, FL
  • NPI 1790742930
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635379200000",
    "number": "1063577476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 NW 7TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262307",
            "telephone_number": "305-461-3448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 NW 7TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262307",
            "telephone_number": "305-461-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH GABLES FOOT CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "305-461-3448"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390478400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Bay Medical Associates, P.a.
• North Bay Podiatric Associates, P.a.
• North Beach Dialysis Center, LLC
• North Gables Foot Clinic
• North Gables Foot Clinic
• North Gables Foot Clinic Inc
• North K Medical Supply Corp
• North Kendall Dentists PA
• North Miami Foundation for Senior Citizens Services,Inc.
• North Miami Holistic Wellness Center, Inc.

• Podiatrist in Miami, FL
• Providers in Miami, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.