Active NPI
Anselmo H. Humaran MD,PA
- General Practice Physician
- Miami, FL
National Provider Identifier
1316249279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME41680
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anselmo Humaran, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 96178 | Other | FL | MEDICARE ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Physician
- Miami, FL
- NPI 1114038023
-
- Foot & Ankle Surgery Podiatrist
- Miami, FL
- NPI 1457331720
-
- General Practice Physician
- Miami, FL
- NPI 1972644342
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.