Active NPI
Leticia Adan MD PA
- Nephrology Physician
- Miami Beach, FL
National Provider Identifier
1346287729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- LETICIA ADAN MD PA
- Practice address
- 4302 Alton Rd Ste 420
Miami Beach, FL 33140-2849 - Phone
- (305) 531-1664
- Fax
- (305) 531-9965
- NPI assigned
- Jun 2, 2006
- Last updated
- Sep 7, 2022
- 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
- Charisse Majella Distura Jingco
- Title
- Office Manager
- Phone
- (305) 531-1664
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
4302 Alton Rd Ste 420
Miami Beach, FL 33140-2849
Mailing address
4302 Alton Rd Ste 420
Miami Beach, FL 33140-2849
Phone (305) 216-5048
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38275 | Other | FL | BLUE CROSS BLUE SHIELD |
| DB3262 | Other | FL | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4302 Alton Rd
Ste 420
Miami Beach, FL 33140
Phone (305) 531-1664
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Nephrology Physician
- Miami Beach, FL
- NPI 1255378634
-
- Nephrology Physician
- Miami Beach, FL
- NPI 1831417179
-
- Adult Health Nurse Practitioner
- Miami, FL
- NPI 1982788147
-
- Nephrology Physician
- Key Biscayne, FL
- NPI 1144321829
-
- Nephrology Physician
- Pittsburgh, PA
- NPI 1790724714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662508800000",
"number": "1346287729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4302 ALTON RD STE 420",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331402849",
"telephone_number": "305-216-5048",
"fax_number": "305-531-9965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4302 ALTON RD STE 420",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331402849",
"telephone_number": "305-531-1664",
"fax_number": "305-531-9965"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LETICIA ADAN MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-02",
"last_updated": "2022-09-07",
"certification_date": "2022-09-07",
"status": "A",
"authorized_official_last_name": "JINGCO",
"authorized_official_first_name": "CHARISSE MAJELLA",
"authorized_official_middle_name": "DISTURA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "305-531-1664"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "38275",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DB3262",
"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 Sep 7, 2022; 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.