Individual provider Active NPI

Ignacio C Chinea, M.D.

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1306171749
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME112868 Issued in FL
Practice address
61 Grand Canal Dr Ste 202
Miami, FL 33144-2554
Phone
(305) 563-2189
Fax
(305) 367-8358
NPI assigned
Oct 2, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 27455 PR
Internal Medicine Physician 207R00000X ME112868 FL Primary

Addresses

Primary practice location

61 Grand Canal Dr Ste 202
Miami, FL 33144-2554

Mailing address

860 NW 42ND Ave
FL 5
Miami, FL 33126
Phone (305) 504-7885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120724000984 FL Practitioner - Internal Medicine 5799941472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Univida Medical Center LLCGroup PAC ID 7214316868, 22 clinicians

Practice addresses (Care Compare)

61 Grand Canal Dr
Suite 202
Miami, FL 33144-2554
Phone (305) 563-2189

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME112868FLMDInternal Medicine Physician
27455PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Univida Medical Center LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

61 Grand Canal Dr
Ste 202
Miami, FL 33144
Phone (305) 563-2189

3383 NW 7th St
Fl 2
Miami, FL 33125
Phone (305) 643-4797

860 NW 42nd Ave
Fl 5
Miami, FL 33126
Phone (305) 504-7885

17100 NE 19th Ave
North Miami Beach, FL 33162
Phone (305) 354-7223

6400 SW 8th St
West Miami, FL 33144
Phone (305) 239-2515

Interoperability endpoints

  • Direct secure messaging: ignacio.chinea@univ.eclinicaldirectplus.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1306171749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 NW 42ND AVE",
            "address_2": "FL 5",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33126",
            "telephone_number": "305-504-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 GRAND CANAL DR STE 202",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442554",
            "telephone_number": "305-563-2189",
            "fax_number": "305-367-8358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINEA",
        "first_name": "IGNACIO",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-02",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "27455",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME112868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.