Active NPI
Francisco D Bautista-Mena, M.D.
- Gastroenterology Physician
- Miami, FL
National Provider Identifier
1356468698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 171183
- Practice address
- 2600 W Flagler St
Miami, FL 33135-1425 - Phone
- (305) 631-0660
- NPI assigned
- Mar 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 171183 | NY | Primary |
Addresses
Primary practice location
2600 W Flagler St
Miami, FL 33135-1425
Mailing address
6101 Blue Lagoon Dr
4TH Floor
Miami, FL 33126-2055
Phone (305) 500-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01136727 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 171183 | NY | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drfico Integrative Medicine and Functional Gastroenterology Center | Gastroenterology | Current | Accepting new patients |
Locations
7100 W 20th Ave
Ste 106
Hialeah, FL 33016
Phone (718) 600-6676
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Gastroenterology Physician
- Hialeah, FL
- NPI 1528633047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458864000000",
"number": "1356468698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6101 BLUE LAGOON DR",
"address_2": "4TH FLOOR",
"city": "MIAMI",
"state": "FL",
"postal_code": "331262055",
"telephone_number": "305-500-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 W FLAGLER ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331351425",
"telephone_number": "305-631-0660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUTISTA-MENA",
"first_name": "FRANCISCO",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-23",
"last_updated": "2016-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "171183",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01136727",
"state": "NY"
}
],
"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 Mar 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.