Organization Active NPI

Digestive 305 LLC

  • Gastroenterology Physician
  • Miami Springs, FL
National Provider Identifier
1295599355
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
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

Updated by the provider on Feb 9, 2024

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

Authorized official

Name
Nguyen Caballero, APRNNPI 1467119917
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)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.