Active NPI
Stuart Gottlieb MD Chartered
- Physiological Laboratory
- Coral Gables, FL
National Provider Identifier
1174516637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- Legal business name
- STUART GOTTLIEB MD CHARTERED
- Practice address
- 475 Biltmore Way
Suite 106
Coral Gables, FL 33134-5755 - Phone
- (305) 461-1700
- Fax
- (305) 461-1716
- NPI assigned
- Aug 30, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Victor Guillermo Soto, MD
- Title
- President
- Phone
- (305) 461-1700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physiological Laboratory | 293D00000X | Primary |
Addresses
Primary practice location
475 Biltmore Way
Suite 106
Coral Gables, FL 33134-5755
Mailing address
475 Biltmore Way
Suite 106
Coral Gables, FL 33134-5717
Phone (305) 461-1700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 376997600 | Medicaid | FL |
Other names 1
- Gables Diagnostic Imaging Associates
National Provider Directory
National Provider DirectoryLocations
495 Biltmore Way
Fl 1
Coral Gables, FL 33134
Phone (305) 461-1700
495 Biltmore Way
Fl First
Coral Gables, FL 33134
Phone (305) 461-1700
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nuclear Cardiology Physician
- Coral Gables, FL
- NPI 1962495440
-
- Nuclear Cardiology Physician
- Coral Gables, FL
- NPI 1487712006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1254355200000",
"number": "1174516637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 BILTMORE WAY",
"address_2": "SUITE 106",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331345717",
"telephone_number": "305-461-1700",
"fax_number": "305-461-1716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 BILTMORE WAY",
"address_2": "SUITE 106",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331345755",
"telephone_number": "305-461-1700",
"fax_number": "305-461-1716"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STUART GOTTLIEB MD CHARTERED",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-30",
"last_updated": "2009-10-01",
"status": "A",
"authorized_official_last_name": "SOTO",
"authorized_official_first_name": "VICTOR",
"authorized_official_middle_name": "GUILLERMO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-461-1700",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "376997600",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Gables Diagnostic Imaging Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.