Individual provider Active NPI

Jose Alejandro Pita Gavilla

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1174038657
Registry record updated Dec 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9340170 Issued in FL
Practice address
4758 NW 2ND Ter
Miami, FL 33126-5272
Phone
(786) 226-4238
NPI assigned
Dec 6, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9340170 FL Primary

Addresses

Primary practice location

4758 NW 2ND Ter
Miami, FL 33126-5272

Mailing address

4758 NW 2ND Ter
Miami, FL 33126-5272
Phone (786) 226-4238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180530000876 FL Practitioner - Nurse Practitioner 4486919156 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Jewish Health Systems, Inc. CurrentSince Apr 1, 2018 Accepting new patients

Locations

5200 NE 2nd Ave
Miami, FL 33137
Phone (305) 762-1387

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512518400000",
    "number": "1174038657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4758 NW 2ND TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265272",
            "telephone_number": "786-226-4238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4758 NW 2ND TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265272",
            "telephone_number": "786-226-4238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITA GAVILLA",
        "first_name": "JOSE",
        "middle_name": "ALEJANDRO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-06",
        "last_updated": "2017-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9340170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.