Organization Active NPI

Raul E Tamayo P L

  • Internal Medicine Physician
  • Longwood, FL
National Provider Identifier
1265572028
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0050911 Issued in FL
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, PLAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 28, 2020

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0601699100MedicaidFL
1265572028OtherFLGROUP NPI NUMBER
$$$$$$$$$OtherFLDR. TAMAYO SOCIAL SEC
72774OtherFLGROUP BCBS NUMBER
1568437689OtherFLDR. TAMAYO NPI NUMBER
04355OtherFLDR TAMAYO BCBS INDIVIDUAL

Other names 1

  • ADULT MEDICINE SPECIALISTS Doing business as

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.

Verify at the official NPI Registry.