Active NPI
Digestive 305 LLC
- Gastroenterology Physician
- Miami Springs, FL
National Provider Identifier
1295599355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- DIGESTIVE 305 LLC
- Practice address
- 940 Hunting Lodge Drive
Miami Springs, FL 33166 - Phone
- (305) 505-7714
- NPI assigned
- Feb 9, 2024
- 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
- Nguyen Caballero, APRN
- Title
- Manager
- Phone
- (305) 505-7714
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
940 Hunting Lodge Drive
Miami Springs, FL 33166
Mailing address
10 Canal St Ste 277
Miami Springs, FL 33166-4404
Phone (305) 505-7714
National Provider Directory
National Provider DirectoryLocations
10 Canal St
Miami Springs, FL 33166
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Hialeah, FL
- NPI 1467119917
-
- Gastroenterology Physician
- Hialeah, FL
- NPI 1003268715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707436800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707436800000",
"number": "1295599355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 CANAL ST STE 277",
"city": "MIAMI SPRINGS",
"state": "FL",
"postal_code": "331664404",
"telephone_number": "305-505-7714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 HUNTING LODGE DRIVE",
"city": "MIAMI SPRINGS",
"state": "FL",
"postal_code": "33166",
"telephone_number": "305-505-7714"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIGESTIVE 305 LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-09",
"last_updated": "2024-02-09",
"certification_date": "2024-02-02",
"status": "A",
"authorized_official_last_name": "CABALLERO",
"authorized_official_first_name": "NGUYEN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "305-505-7714",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.