NPIMap

Organization Active NPI

Jose Gabriel Medina-Smester PA

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1366831703
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME117746 Issued in FL
Legal business name
JOSE GABRIEL MEDINA-SMESTER PA
Practice address
801 Brickell Ave Ste 954
Miami, FL 33131-2951
Phone
(786) 375-5098
Fax
(229) 245-7661
NPI assigned
Jan 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

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

Authorized official

Name
Dr. Jose Gabriel Medina-Smester, MDNPI 1295053593
Title
Owner
Phone
(229) 247-1667

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME117746 FL Primary

Addresses

Primary practice location

801 Brickell Ave Ste 954
Miami, FL 33131-2951

Mailing address

PO Box 3550
Valdosta, GA 31604-3550
Phone (229) 247-1667

Other identifiers 1

IdentifierTypeStateIssuer
14T5HOtherFLFLORIDA BLUE

Other names 1

  • Medihealth MD Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1366831703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3550",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316043550",
            "telephone_number": "229-247-1667",
            "fax_number": "229-245-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BRICKELL AVE STE 954",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331312951",
            "telephone_number": "786-375-5098",
            "fax_number": "229-245-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE GABRIEL MEDINA-SMESTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "MEDINA-SMESTER",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "GABRIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-247-1667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME117746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "14T5H",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medihealth MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 3, 2015; 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.