Active NPI
Mahboobeh Goltapeh , M.D., PA
- Medical Specialty Clinic/Center
- Miami, FL
National Provider Identifier
1245538503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- ME 50341
- Legal business name
- MAHBOOBEH GOLTAPEH , M.D., PA
- Practice address
- 3661 S Miami Ave
904
Miami, FL 33133-4236 - Phone
- (305) 854-9878
- NPI assigned
- Mar 9, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mahboobeh Goltapeh, M.D.
- Title
- Medical Director
- Phone
- 30585498768
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | ME 50341 | FL | Primary |
Addresses
Primary practice location
3661 S Miami Ave
904
Miami, FL 33133-4236
Mailing address
3661 S Miami Ave
904
Miami, FL 33133-4236
Phone (305) 854-9878
National Provider Directory
National Provider DirectoryLocations
3661 S Miami Ave
Ste 904
Miami, FL 33133
Phone (305) 854-5811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1299628800000",
"number": "1245538503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3661 S MIAMI AVE",
"address_2": "904",
"city": "MIAMI",
"state": "FL",
"postal_code": "331334236",
"telephone_number": "305-854-9878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3661 S MIAMI AVE",
"address_2": "904",
"city": "MIAMI",
"state": "FL",
"postal_code": "331334236",
"telephone_number": "305-854-9878"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAHBOOBEH GOLTAPEH , M.D., PA",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-09",
"last_updated": "2011-03-09",
"status": "A",
"authorized_official_last_name": "GOLTAPEH",
"authorized_official_first_name": "MAHBOOBEH",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "30585498768",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "FL",
"license": "ME 50341",
"primary": true
}
],
"identifiers": [],
"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 Mar 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.