Organization Active NPI

Julio C Pita Jr MD PA

  • Specialist
  • Coral Gables, FL
National Provider Identifier
1275796542
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0021364 Issued in FL
Legal business name
JULIO C PITA JR MD PA
Practice address
6705 Red Road
Suite 714
Coral Gables, FL 33143-3652
Phone
(305) 662-1160
NPI assigned
Jul 8, 2008
Last updated
Jul 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Julio C Pita Jr., MDNPI 1134157407
Title
President
Phone
(305) 662-1160

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0021364 FL Primary

Addresses

Primary practice location

6705 Red Road
Suite 714
Coral Gables, FL 33143-3652

Mailing address

6705 Red Road
Suite 714
Coral Gables, FL 33143-3652
Phone (305) 662-1160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080710000095 FL Part B Supplier - Clinic/Group Practice 8527130434 Receives reassigned benefits from 1 practitioner
Practice locations: South Miami, FL

National Provider Directory

National Provider Directory

Locations

6705 SW 57th Ave
Ste 714
South Miami, FL 33143
Phone (305) 662-1160

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1275796542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6705 RED ROAD",
            "address_2": "SUITE 714",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331433652",
            "telephone_number": "305-662-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6705 RED ROAD",
            "address_2": "SUITE 714",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331433652",
            "telephone_number": "305-662-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIO C PITA JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "PITA",
        "authorized_official_first_name": "JULIO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-662-1160",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0021364",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 24, 2008; 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.

Verify at the official NPI Registry.