Active NPI
Francisco G Tudela M.D PA
- Obstetrics & Gynecology Physician
- Hialeah, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- FRANCISCO G TUDELA M.D PA
- Practice address
- 777 E 25TH St Ste 106
Hialeah, FL 33013-3804 - Phone
- (305) 691-1171
- Fax
- (305) 693-6726
- NPI assigned
- Nov 4, 2010
- 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
- Mr. Francisco G Tudela Jr., M.D
- Title
- Owner
- Phone
- (305) 691-1171
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME36365 | FL | |
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
777 E 25TH St Ste 106
Hialeah, FL 33013-3804
Mailing address
777 E 25TH St Ste 106
Hialeah, FL 33013-3804
Phone (305) 691-1171
Other practice location 1
11760 SW 40th St Ste 729
Miami, FL 33175-8102
Phone (305) 559-8787
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1190HILH | Other | FL | NHP |
| 95746 | Other | FL | BCBS ID # |
| 058554800 | Medicaid | FL | |
| 209384 | Other | FL | AVMED |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Francisco G Tudela Jr MD PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Obstetrics & Gynecology Physician
- Miami, FL
- NPI 1841946472
Locations
777 E 25th St
Ste 106
Hialeah, FL 33013
Phone (305) 559-8787
Networks
- HealthSun Health Plans Network
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Hialeah, FL
- NPI 1639347263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1636588800000",
"number": "1265733430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 E 25TH ST STE 106",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330133804",
"telephone_number": "305-691-1171",
"fax_number": "305-693-6726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 E 25TH ST STE 106",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330133804",
"telephone_number": "305-691-1171",
"fax_number": "305-693-6726"
}
],
"practiceLocations": [
{
"address_1": "11760 SW 40th St Ste 729",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331758102",
"country_code": "US",
"telephone_number": "305-559-8787",
"fax_number": "844-798-8918",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FRANCISCO G TUDELA M.D PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-04",
"last_updated": "2021-11-11",
"certification_date": "2021-11-11",
"status": "A",
"authorized_official_last_name": "TUDELA",
"authorized_official_first_name": "FRANCISCO",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-691-1171",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "FL",
"license": "ME36365",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP",
"identifier": "1190HILH",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ID #",
"identifier": "95746",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "058554800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "209384",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.