NPIMap

Organization Active NPI

Um Distributor Corp

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1144733015
Registry record updated Nov 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
UM DISTRIBUTOR CORP
Practice address
12032 SW 132ND CT Ste 204
Miami, FL 33186-6409
Phone
(786) 464-0797
NPI assigned
Nov 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2017

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

Authorized official

Name
Rafael Fuentes Piloto
Title
President
Phone
(786) 464-0797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

12032 SW 132ND CT Ste 204
Miami, FL 33186-6409

Mailing address

12032 SW 132ND CT Ste 204
Miami, FL 33186-6409
Phone (786) 464-0797

National Provider Directory

National Provider Directory
Tax ID family
Um Distributor Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510617600000",
    "number": "1144733015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12032 SW 132ND CT STE 204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866409",
            "telephone_number": "786-464-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12032 SW 132ND CT STE 204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866409",
            "telephone_number": "786-464-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UM DISTRIBUTOR CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-14",
        "last_updated": "2017-11-14",
        "status": "A",
        "authorized_official_last_name": "FUENTES PILOTO",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-464-0797"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "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 Nov 14, 2017; 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.