NPIMap

Organization Active NPI

Manuel a Ojeda MD PA

  • Internal Medicine Physician
  • Miami Beach, FL
National Provider Identifier
1326032533
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME83761 Issued in FL
Legal business name
MANUEL A OJEDA MD PA
Practice address
4351 Royal Palm Ave
Miami Beach, FL 33140-3018
Phone
(305) 861-5196
Fax
(305) 468-6258
NPI assigned
Sep 1, 2005
Last updated
Jan 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

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

Authorized official

Name
Dr. Manuel Antonio Ojeda, MDNPI 1952333775
Title
President
Phone
(305) 861-5196

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
Internal Medicine Physician 207R00000X ME83761 FL Primary

Addresses

Primary practice location

4351 Royal Palm Ave
Miami Beach, FL 33140-3018

Mailing address

4351 Royal Palm Ave
Miami Beach, FL 33140-3018
Phone (305) 861-5196

Other identifiers 1

IdentifierTypeStateIssuer
263465101MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070514000475 FL Part B Supplier - Clinic/Group Practice 0547261760 Receives reassigned benefits from 13 practitioners
Practice locations: West Palm Beach, FL; North Bay Village, FL; Miami, FL, FL; Miami,, FL; Miami Beach, FL; Miami, FL; Delray Beach, FL; Boca Raton, FL

National Provider Directory

National Provider Directory

Locations

1861 NW 8th Ave
Miami, FL 33136
Phone (305) 347-3380

899 NW 4th St
Miami, FL 33128
Phone (305) 326-1236

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264032000000",
    "number": "1326032533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4351 ROYAL PALM AVE",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403018",
            "telephone_number": "305-861-5196",
            "fax_number": "305-468-6258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 ROYAL PALM AVE",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403018",
            "telephone_number": "305-861-5196",
            "fax_number": "305-468-6258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL A OJEDA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-01",
        "last_updated": "2010-01-21",
        "status": "A",
        "authorized_official_last_name": "OJEDA",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-861-5196",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME83761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263465101",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; 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.