Active NPI
Dave Jimenes Galvizo, IDHS
- Other Technician
- Key West, FL
National Provider Identifier
1215194865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 100 Trumbo PT Rd
Uscgc Mohawk Wmec 913
Key West, FL 33040 - Phone
- (305) 292-8750
- Fax
- (305) 292-8792
- NPI assigned
- May 21, 2008
- Last updated
- May 21, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | NU | Primary |
Addresses
Primary practice location
100 Trumbo PT Rd
Uscgc Mohawk Wmec 913
Key West, FL 33040
Mailing address
100 Trumbo PT Rd
Uscgc Mohawk Wmec 913
Key West, FL 33040
Phone (305) 292-8750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211328000000",
"number": "1215194865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 TRUMBO PT RD",
"address_2": "USCGC MOHAWK WMEC 913",
"city": "KEY WEST",
"state": "FL",
"postal_code": "33040",
"telephone_number": "305-292-8750",
"fax_number": "305-292-8792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 TRUMBO PT RD",
"address_2": "USCGC MOHAWK WMEC 913",
"city": "KEY WEST",
"state": "FL",
"postal_code": "33040",
"telephone_number": "305-292-8750",
"fax_number": "305-292-8792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALVIZO",
"first_name": "DAVE",
"middle_name": "JIMENES",
"credential": "IDHS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-21",
"last_updated": "2008-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Key West, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.