Organization Active NPI

Jose F Landa M.D., P.a.

  • Specialist
  • Coral Gables, FL
National Provider Identifier
1255778320
Registry record updated May 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME15208 Issued in FL
Legal business name
JOSE F LANDA M.D., P.A.
Practice address
620 SW 42ND Ave
Coral Gables, FL 33134-1912
Phone
(305) 444-1411
Fax
(305) 448-4558
NPI assigned
May 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2013

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

Authorized official

Name
Dr. Jose Francisco Landa, M.D.
Title
President
Phone
(305) 444-1411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME15208 FL Primary

Addresses

Primary practice location

620 SW 42ND Ave
Coral Gables, FL 33134-1912

Mailing address

620 SW 42ND Ave
Coral Gables, FL 33134-1912
Phone (305) 444-1411

Other identifiers 1

IdentifierTypeStateIssuer
71458OtherFLMEDICARE PROVIDER

National Provider Directory

National Provider Directory

Locations

620 SW 42nd Ave
Coral Gables, FL 33134
Phone (305) 444-1411

NPI Registry JSON

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369872000000",
    "number": "1255778320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 SW 42ND AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341912",
            "telephone_number": "305-444-1411",
            "fax_number": "305-448-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 SW 42ND AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341912",
            "telephone_number": "305-444-1411",
            "fax_number": "305-448-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE F LANDA M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-30",
        "last_updated": "2013-05-30",
        "status": "A",
        "authorized_official_last_name": "LANDA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "FRANCISCO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-444-1411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME15208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "71458",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.