Organization Active NPI

Anselmo H. Humaran MD,PA

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1316249279
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME41680 Issued in FL
Legal business name
ANSELMO H. HUMARAN MD,PA
Practice address
11474 Quail Roost Dr
Miami, FL 33157-6575
Phone
(305) 232-2066
NPI assigned
Nov 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Authorized official

Name
Dr. Anselmo Humaran, MDNPI 1114038023
Title
President
Phone
(305) 232-2066

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
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X ME41680 FL Primary

Addresses

Primary practice location

11474 Quail Roost Dr
Miami, FL 33157-6575

Mailing address

11474 Quail Roost Dr
Miami, FL 33157-6575
Phone (305) 232-2066

Other identifiers 1

IdentifierTypeStateIssuer
96178OtherFLMEDICARE ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101213001184 FL Part B Supplier - Clinic/Group Practice 3971790189 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

11474 Quail Roost Dr
Miami, FL 33157
Phone (305) 232-2066

Practitioners & affiliated clinicians

Practitioners 3

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": "1290988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346716800000",
    "number": "1316249279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11474 QUAIL ROOST DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331576575",
            "telephone_number": "305-232-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11474 QUAIL ROOST DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331576575",
            "telephone_number": "305-232-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANSELMO H. HUMARAN MD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-29",
        "last_updated": "2012-09-04",
        "status": "A",
        "authorized_official_last_name": "HUMARAN",
        "authorized_official_first_name": "ANSELMO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-232-2066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME41680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "96178",
            "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 Sep 4, 2012; 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.