Organization Active NPI

Angel E Tafur MD PA

  • Family Medicine Physician
  • The Villages, FL
National Provider Identifier
1205928512
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0073896 Issued in FL
Legal business name
ANGEL E TAFUR MD PA
Practice address
1503 Buenos Aires Blvd
Building 160
The Villages, FL 32159-6821
Phone
(352) 350-6241
Fax
(352) 350-6241
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2011

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

Authorized official

Name
Dr. Angel E Tafur, MD
Title
Physician/Owner
Phone
(352) 350-6241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME0073896 FL Primary

Addresses

Primary practice location

1503 Buenos Aires Blvd
Building 160
The Villages, FL 32159-6821

Mailing address

1503 Buenos Aires Blvd
Building 160
The Villages, FL 32159-6821
Phone (352) 350-6241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051107000331 FL Part B Supplier - Clinic/Group Practice 1850319062 Receives reassigned benefits from 1 practitioner
Practice locations: The Villages, FL

National Provider Directory

National Provider Directory

Locations

10969 SE 175th Pl
Ste 100
Summerfield, FL 34491
Phone (352) 347-0363

Practitioners 1

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": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300233600000",
    "number": "1205928512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 BUENOS AIRES BLVD",
            "address_2": "BUILDING 160",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321596821",
            "telephone_number": "352-350-6241",
            "fax_number": "352-350-6241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 BUENOS AIRES BLVD",
            "address_2": "BUILDING 160",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321596821",
            "telephone_number": "352-350-6241",
            "fax_number": "352-350-6241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL E TAFUR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2011-03-16",
        "status": "A",
        "authorized_official_last_name": "TAFUR",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "352-350-6241",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0073896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.