Active NPI
Marie Ermanise Altidor, RRT
- Registered Respiratory Therapist
- Miami, FL
National Provider Identifier
1366565970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Respiratory Therapist
- License
- RT 4825
- Practice address
- 4284 SW 161 Place
Miami, FL 33185 - Phone
- (786) 208-2814
- Fax
- (305) 228-6251
- NPI assigned
- Apr 9, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Respiratory Therapist | 227900000X | RT 4825 | FL | Primary |
Addresses
Primary practice location
4284 SW 161 Place
Miami, FL 33185
Mailing address
197 NW 88TH St
Miami, FL 33150
Phone (305) 751-8524
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT 4825 | FL | MD | Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B & V Thera Pro Associates Corp | Respiratory Therapist, Registered | Past | Accepting new patients |
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.
-
- Clinic/Center
- Miami, FL
- NPI 1477635456
Respiratory Therapist, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1366565970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "197 NW 88TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "33150",
"telephone_number": "305-751-8524",
"fax_number": "305-228-6251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4284 SW 161 PLACE",
"city": "MIAMI",
"state": "FL",
"postal_code": "33185",
"telephone_number": "786-208-2814",
"fax_number": "305-228-6251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTIDOR",
"first_name": "MARIE",
"middle_name": "ERMANISE",
"name_prefix": "Mrs.",
"credential": "RRT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-09",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "227900000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered",
"state": "FL",
"license": "RT 4825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
- Alternative Physical Medicine, Inc.
- Lorrie Beth Althage, MSN, APRN, FNP-C
- Althiva Medical Office
- Abdulrahman Fahad Althukair, M.D.
- Marie Michelle Altidor Mesidor, FNP-C
- Tracey Altidor, ARNP
- Christopher Altieri, DPT
- Altima Dental Group of West Kendall, LLC (Altima Dental Center of West Kendall)
- Altius Management Services LLC
- Altius Medical Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.