Organization Active NPI

Florida Podiatry Group PA

  • Podiatrist
  • Miami, FL
National Provider Identifier
1326190802
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO2583 Issued in FL
Legal business name
FLORIDA PODIATRY GROUP PA
Practice address
631 SW 23Rd Rd
Miami, FL 33129-1929
Phone
(305) 854-2222
Fax
(305) 854-8581
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2009

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

Authorized official

Name
Patricia M. Rosas-Guyon, DPM
Title
Owner
Phone
(305) 854-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X PO2583 FL Primary

Addresses

Primary practice location

631 SW 23Rd Rd
Miami, FL 33129-1929

Mailing address

8415 SW 24TH St
Suite 204
Miami, FL 33155-2305
Phone (305) 854-2222

Other identifiers 1

IdentifierTypeStateIssuer
340402100MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235088000000",
    "number": "1326190802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8415 SW 24TH ST",
            "address_2": "SUITE 204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552305",
            "telephone_number": "305-854-2222",
            "fax_number": "305-854-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 SW 23RD RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331291929",
            "telephone_number": "305-854-2222",
            "fax_number": "305-854-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA PODIATRY GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2009-02-20",
        "status": "A",
        "authorized_official_last_name": "ROSAS-GUYON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-854-2222",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340402100",
            "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 Feb 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.