Organization Active NPI

Mariana Bubucea MD.,P.a.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Hallandale Beach, FL
National Provider Identifier
1174016844
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
ME113594 Issued in FL
Legal business name
MARIANA BUBUCEA MD.,P.A.
Practice address
2500 E Hallandale Beach Blvd Ste 401
Hallandale Beach, FL 33009-4835
Phone
(954) 395-2585
Fax
(954) 395-2584
NPI assigned
Jun 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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

Authorized official

Name
Mariana Bubucea, MD
Title
Owner
Phone
(305) 742-7962

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207VF0040X ME113594 FL Primary

Addresses

Primary practice location

2500 E Hallandale Beach Blvd Ste 401
Hallandale Beach, FL 33009-4835

Mailing address

2500 E Hallandale Beach Blvd Ste 401
Hallandale Beach, FL 33009-4835
Phone (954) 395-2585

Other identifiers 1

IdentifierTypeStateIssuer
006257100MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528329600000",
    "number": "1174016844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 E HALLANDALE BEACH BLVD STE 401",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094835",
            "telephone_number": "954-395-2585",
            "fax_number": "954-395-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E HALLANDALE BEACH BLVD STE 401",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094835",
            "telephone_number": "954-395-2585",
            "fax_number": "954-395-2584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIANA BUBUCEA MD.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-06-07",
        "status": "A",
        "authorized_official_last_name": "BUBUCEA",
        "authorized_official_first_name": "MARIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-742-7962",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "FL",
            "license": "ME113594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006257100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.