Active NPI
Raul E Tamayo P L
- Internal Medicine Physician
- Longwood, FL
National Provider Identifier
1265572028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME0050911
- Legal business name
- RAUL E TAMAYO P L
- Practice address
- 280 Wekiva Springs Rd
Suite 1000
Longwood, FL 32779-5946 - Phone
- (321) 460-5722
- Fax
- (407) 389-2273
- NPI assigned
- Feb 8, 2007
- Organization subpart
- Yes
- Parent organization
- RAUL E. TAMAYO, PL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Raul E Tamayo, MD
- Title
- Medical Director
- Phone
- (407) 788-2273
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME0050911 | FL | Primary |
Addresses
Primary practice location
280 Wekiva Springs Rd
Suite 1000
Longwood, FL 32779-5946
Mailing address
280 Wekiva Springs Rd
Suite 1000
Longwood, FL 32779-5946
Phone (321) 460-5722
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0601699100 | Medicaid | FL | |
| 1265572028 | Other | FL | GROUP NPI NUMBER |
| $$$$$$$$$ | Other | FL | DR. TAMAYO SOCIAL SEC |
| 72774 | Other | FL | GROUP BCBS NUMBER |
| 1568437689 | Other | FL | DR. TAMAYO NPI NUMBER |
| 04355 | Other | FL | DR TAMAYO BCBS INDIVIDUAL |
Other names 1
- ADULT MEDICINE SPECIALISTS
National Provider Directory
National Provider Directory- Part of
- Raul E Tamayo P L MD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1590624000000",
"number": "1265572028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 WEKIVA SPRINGS RD",
"address_2": "SUITE 1000",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327795946",
"telephone_number": "321-460-5722",
"fax_number": "407-389-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 WEKIVA SPRINGS RD",
"address_2": "SUITE 1000",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327795946",
"telephone_number": "321-460-5722",
"fax_number": "407-389-2273"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAUL E TAMAYO P L",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RAUL E. TAMAYO, PL",
"enumeration_date": "2007-02-08",
"last_updated": "2020-05-28",
"status": "A",
"authorized_official_last_name": "TAMAYO",
"authorized_official_first_name": "RAUL",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "407-788-2273",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME0050911",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0601699100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI NUMBER",
"identifier": "1265572028",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR. TAMAYO SOCIAL SEC",
"identifier": "$$$$$$$$$",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP BCBS NUMBER",
"identifier": "72774",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR. TAMAYO NPI NUMBER",
"identifier": "1568437689",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR TAMAYO BCBS INDIVIDUAL",
"identifier": "04355",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ADULT MEDICINE SPECIALISTS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Longwood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.