NPIMap

Organization Active NPI

Beraja Medical Institute Inc

  • Ophthalmology Physician
  • Coral Gables, FL
National Provider Identifier
1356351605
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
BERAJA MEDICAL INSTITUTE INC
Practice address
2550 S Douglas Rd
Coral Gables, FL 33134-6126
Phone
(305) 443-7070
Fax
(305) 357-1701
NPI assigned
Aug 9, 2006
Last updated
Apr 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Authorized official

Name
Thomas Albert QuigleyNPI 1578552220
Title
Director
Phone
(239) 466-2020

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X FL Primary
Plastic Surgery Physician 208200000X FL

Addresses

Primary practice location

2550 S Douglas Rd
Coral Gables, FL 33134-6126

Mailing address

44 Barkley Cir
Fort Myers, FL 33907-7530
Phone (239) 985-7171

Other identifiers 2

IdentifierTypeStateIssuer
33058OtherFLPTAN
377570400MedicaidFL

National Provider Directory

National Provider Directory

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1356351605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 BARKLEY CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077530",
            "telephone_number": "239-985-7171",
            "fax_number": "392-985-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 S DOUGLAS RD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346126",
            "telephone_number": "305-443-7070",
            "fax_number": "305-357-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERAJA MEDICAL INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "QUIGLEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "239-466-2020"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "33058",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377570400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.