Organization Active NPI

Avant Garde Management Associates

  • Geriatric Medicine (Family Medicine) Physician
  • Homestead, FL
National Provider Identifier
1366147423
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
AVANT GARDE MANAGEMENT ASSOCIATES
Practice address
25865 SW 139TH Path
Homestead, FL 33032-6696
Phone
(786) 426-2868
NPI assigned
Mar 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Authorized official

Name
Alain Tejeda Jr.
Title
President
Phone
(786) 426-2868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X Primary

Addresses

Primary practice location

25865 SW 139TH Path
Homestead, FL 33032-6696

Mailing address

25865 SW 139TH Path
Homestead, FL 33032-6696
Phone (786) 426-2868

Other names 1

  • AVANT GARDE MANAGEMENT ASSOCIATES Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1366147423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25865 SW 139TH PATH",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330326696",
            "telephone_number": "786-426-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25865 SW 139TH PATH",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330326696",
            "telephone_number": "786-426-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANT GARDE MANAGEMENT ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "TEJEDA",
        "authorized_official_first_name": "ALAIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-426-2868",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AVANT GARDE MANAGEMENT ASSOCIATES",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.