Active NPI
Maria E. Fernandez Tamayo, M.D.
- General Practice Physician
- Miami, FL
National Provider Identifier
1215940747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME137016
- Practice address
- Ultimate Medical Center & Spa. LLC.
12700 SW 128TH Street, Suite 205
Miami, FL 33186-5378 - Phone
- (305) 278-7579
- Fax
- (305) 278-7589
- NPI assigned
- Aug 14, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ME137016 | FL | Primary |
Addresses
Primary practice location
Ultimate Medical Center & Spa. LLC.
12700 SW 128TH Street, Suite 205
Miami, FL 33186-5378
Mailing address
13500 SW 88TH St Ste 175
Miami, FL 33186-1528
Phone (305) 387-0081
Other practice location 1
13500 SW 88th St Ste 175
Miami, FL 33186-1528
Phone (305) 387-0081
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0083354 | Other | PR | PTAN |
| 9372 | Other | PR | MEDICAL LICENCE |
| ME137016 | Other | FL | MEDICAL LICENSE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME137016 | FL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ultimate Medical Center & Spa LLC | General Practice | Current | Accepting new patients |
Locations
12700 SW 128th St
Ste 205
Miami, FL 33186
Phone (305) 278-7579
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Miami, FL
- NPI 1023663259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596412800000",
"number": "1215940747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13500 SW 88TH ST STE 175",
"city": "MIAMI",
"state": "FL",
"postal_code": "331861528",
"telephone_number": "305-387-0081",
"fax_number": "305-387-0053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ULTIMATE MEDICAL CENTER & SPA. LLC.",
"address_2": "12700 SW 128TH STREET, SUITE 205",
"city": "MIAMI",
"state": "FL",
"postal_code": "331865378",
"telephone_number": "305-278-7579",
"fax_number": "305-278-7589"
}
],
"practiceLocations": [
{
"address_1": "13500 SW 88th St Ste 175",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331861528",
"country_code": "US",
"telephone_number": "305-387-0081",
"fax_number": "305-387-0053",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FERNANDEZ TAMAYO",
"first_name": "MARIA",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-14",
"last_updated": "2020-08-03",
"certification_date": "2020-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME137016",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "0083354",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENCE",
"identifier": "9372",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "ME137016",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.