Organization Active NPI

Federico Dumenigo, MD, PA

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1285875625
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
E14379 Issued in FL
Legal business name
FEDERICO DUMENIGO, MD, PA
Practice address
78 SW 13TH Ave
Suite 201
Miami, FL 33135-2479
Phone
(305) 631-0470
Fax
(305) 631-9962
NPI assigned
Mar 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

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

Authorized official

Name
Dr. Federico Dumenigo, MD, PA.
Title
Owner
Phone
(305) 631-0470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X E14379 FL Primary

Addresses

Primary practice location

78 SW 13TH Ave
Suite 201
Miami, FL 33135-2479

Mailing address

78 SW 13TH Ave
Suite 201
Miami, FL 33135-2479
Phone (305) 631-0470

Other identifiers 1

IdentifierTypeStateIssuer
049717700MedicaidFL

National Provider Directory

National Provider Directory

Locations

78 SW 13th Ave
Ste 201
Miami, FL 33135
Phone (305) 631-0470

NPI Registry JSON

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276473600000",
    "number": "1285875625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 SW 13TH AVE",
            "address_2": "SUITE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352479",
            "telephone_number": "305-631-0470",
            "fax_number": "305-631-9962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 SW 13TH AVE",
            "address_2": "SUITE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352479",
            "telephone_number": "305-631-0470",
            "fax_number": "305-631-9962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEDERICO DUMENIGO, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-16",
        "last_updated": "2010-06-14",
        "status": "A",
        "authorized_official_last_name": "DUMENIGO",
        "authorized_official_first_name": "FEDERICO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-631-0470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PA."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "E14379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049717700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; 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.