Fontainebleau Medical Center Corp

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME65110 Issued in FL

Legal business name

FONTAINEBLEAU MEDICAL CENTER CORP

Practice address

175 Fontainebleau Blvd
Suite 1P1
Miami, FL 33172-7018

Phone

(305) 227-1377

Fax

(305) 229-1377

NPI assigned

Oct 24, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Carlos E Aguilar, M.D

Title

President

Phone

(305) 227-1377

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1326324252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 FONTAINEBLEAU BLVD",
            "address_2": "SUITE 1P1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331727018",
            "telephone_number": "305-227-1377",
            "fax_number": "305-229-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 FONTAINEBLEAU BLVD",
            "address_2": "SUITE 1P1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331727018",
            "telephone_number": "305-227-1377",
            "fax_number": "305-229-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FONTAINEBLEAU MEDICAL CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-24",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "AGUILAR",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-227-1377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME65110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL DOCTOR LICENSE",
            "identifier": "ME65110",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manuel A. Font, PHARMD
• Nestor A Font, APRN
• Regina Margarita Fontaine, RBT
• Fontainebleau Dentistry, PA
• Fontainebleau Discount Pharmacy, Inc.
• Fontainebleau Medical Supplies Inc
• Fontainebleau Rehabilitation Center Inc.
• Stainely J Fontalvo Mendez
• Laura Fontalvo
• Nelida Freed Fontana, PHARM D

• Family Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.