Organization Active NPI

Stuart Gottlieb MD Chartered

  • Physiological Laboratory
  • Coral Gables, FL
National Provider Identifier
1174516637
Registry record updated Oct 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
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

Updated by the provider on Oct 1, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
376997600MedicaidFL

Other names 1

  • Gables Diagnostic Imaging Associates Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.