Individual provider Active NPI

Ana Margarita Vidal, M.D.

  • Specialist
  • South Miami, FL
National Provider Identifier
1174538813
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME 88264 Issued in FL
Practice address
7300 SW 62ND PL Ste Phe
South Miami, FL 33143-4806
Phone
(305) 662-6367
Fax
(305) 662-6370
NPI assigned
Jul 30, 2006
Last updated
Feb 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME 88264 FL Primary
Maternal & Fetal Medicine Physician 207VM0101X ME88264 FL

Addresses

Primary practice location

7300 SW 62ND PL Ste Phe
South Miami, FL 33143-4806

Mailing address

7300 SW 62ND PL Ste Phe
South Miami, FL 33143-4806
Phone (305) 662-6367

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070814000722 FL Practitioner - Obstetrics/Gynecology 9335132000 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 88264FLMDSpecialist
ME88264FLMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC Maternal & Fetal Medicine CurrentSince Jul 1, 2014 Accepting new patients
South Florida Perinatal Medicine Specialist PastSince Oct 6, 2004 Accepting new patients
Utmb Faculty Group Practice Past Accepting new patients

Locations

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

7300 SW 62nd Pl
Ph
South Miami, FL 33143
Phone (305) 662-9320

7300 SW 62nd Pl
Ste Phe
South Miami, FL 33143
Phone (305) 662-6367

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1174538813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 SW 62ND PL STE PHE",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434806",
            "telephone_number": "305-662-6367",
            "fax_number": "305-662-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 SW 62ND PL STE PHE",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434806",
            "telephone_number": "305-662-6367",
            "fax_number": "305-662-6370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDAL",
        "first_name": "ANA",
        "middle_name": "MARGARITA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME 88264",
            "primary": true
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "FL",
            "license": "ME88264",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.