Organization Active NPI

Miami Endocrine Associates, PA

  • Endocrinology, Diabetes & Metabolism Physician
  • Miami, FL
National Provider Identifier
1306189352
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME66435 Issued in FL
Legal business name
MIAMI ENDOCRINE ASSOCIATES, PA
Practice address
5040 NW 7TH St Ste 635
Miami, FL 33126-3796
Phone
(305) 644-2212
Fax
(786) 475-7787
NPI assigned
Mar 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Authorized official

Name
Eugenio Angueira-Serrano, MDNPI 1578621702
Title
Ceo
Phone
(305) 644-2212

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
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X ME66435 FL Primary

Addresses

Primary practice location

5040 NW 7TH St Ste 635
Miami, FL 33126-3796

Mailing address

180 Morningside Dr
Coral Gables, FL 33133
Phone (305) 644-2212

Other practice location 1

351 NW 42nd Ave
Suite 315
Miami, FL 33126-5683
Phone (305) 644-2212

Other identifiers 1

IdentifierTypeStateIssuer
0088715MedicaidFL

Other names 1

  • Angueira Endocrine PA Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL elationemr.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130712000485 FL Part B Supplier - Clinic/Group Practice 4880834936 Receives reassigned benefits from 3 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

351 NW 42nd Ave
Ste 204
Miami, FL 33126
Phone (305) 631-8876

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 4

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": "1364428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569801600000",
    "number": "1306189352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 MORNINGSIDE DR",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "33133",
            "telephone_number": "305-644-2212",
            "fax_number": "305-643-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 NW 7TH ST STE 635",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263796",
            "telephone_number": "305-644-2212",
            "fax_number": "786-475-7787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "351 NW 42nd Ave",
            "address_2": "Suite 315",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331265683",
            "country_code": "US",
            "telephone_number": "305-644-2212",
            "fax_number": "305-643-4111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIAMI ENDOCRINE ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-28",
        "last_updated": "2019-09-30",
        "status": "A",
        "authorized_official_last_name": "ANGUEIRA-SERRANO",
        "authorized_official_first_name": "EUGENIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-644-2212",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME66435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0088715",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "elationemr.com",
            "affiliation": "N",
            "endpointDescription": "Secure EHR with secure links",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5040 NW 7th St Ste 635",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331263796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Angueira Endocrine PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Sep 30, 2019; 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.