Organization Active NPI

Pavel Costa Armas Arnp BC PA

  • Acute Care Nurse Practitioner
  • Miami, FL
National Provider Identifier
1093980831
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
ARNP9181910 Issued in FL
Legal business name
PAVEL COSTA ARMAS ARNP BC PA
Practice address
14712 SW 112TH Ter
Miami, FL 33196-3325
Phone
(305) 450-4439
Fax
(305) 385-0946
NPI assigned
Apr 23, 2008
Last updated
Apr 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Pavel Costa Armas, ARNP BCNPI 1336340298
Title
President and Sole Owner
Phone
(305) 450-4439

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2100X ARNP9181910 FL Primary

Addresses

Primary practice location

14712 SW 112TH Ter
Miami, FL 33196-3325

Mailing address

14712 SW 112TH Ter
Miami, FL 33196-3325
Phone (305) 450-4439

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080521000858 FL Part B Supplier - Clinic/Group Practice 4486723020 Receives reassigned benefits from 1 practitioner
Practice locations: Miami Beach, FL

National Provider Directory

National Provider Directory

Locations

11130 SW 88th St
Ste 200
Miami, FL 33176
Phone (305) 271-4001

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1093980831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14712 SW 112TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331963325",
            "telephone_number": "305-450-4439",
            "fax_number": "305-385-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14712 SW 112TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331963325",
            "telephone_number": "305-450-4439",
            "fax_number": "305-385-0946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAVEL COSTA ARMAS ARNP BC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "COSTA ARMAS",
        "authorized_official_first_name": "PAVEL",
        "authorized_official_title_or_position": "PRESIDENT AND SOLE OWNER",
        "authorized_official_telephone_number": "305-450-4439",
        "authorized_official_credential": "ARNP BC"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "ARNP9181910",
            "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 Apr 23, 2008; 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.