Organization Active NPI

A Enrique Whittwell MD PA

  • Surgery Physician
  • Miami, FL
National Provider Identifier
1396797437
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
A ENRIQUE WHITTWELL MD PA
Practice address
8950 N Kendall Dr
Ste 304
Miami, FL 33176-2144
Phone
(786) 621-3897
Fax
(305) 675-2788
NPI assigned
May 17, 2006
Last updated
Apr 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Dr. Augusto Enrique Whittwell
Title
President
Phone
(786) 621-3897

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X FL Primary

Addresses

Primary practice location

8950 N Kendall Dr
Ste 304
Miami, FL 33176-2144

Mailing address

8950 N Kendall Dr
Ste 304
Miami, FL 33176-2144
Phone (786) 621-3897

Other identifiers 1

IdentifierTypeStateIssuer
98566OtherFLBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

8950 N Kendall Dr
#304W
Miami, FL 33176
Phone (305) 598-5200

8950 N Kendall Dr
Ste 304
Miami, FL 33176
Phone (305) 596-9966

6705 SW 57th Ave
Ste 416
South Miami, FL 33143
Phone (305) 665-0100

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1396797437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 N KENDALL DR",
            "address_2": "STE 304",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762144",
            "telephone_number": "786-621-3897",
            "fax_number": "305-675-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 N KENDALL DR",
            "address_2": "STE 304",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762144",
            "telephone_number": "786-621-3897",
            "fax_number": "305-675-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A ENRIQUE WHITTWELL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "WHITTWELL",
        "authorized_official_first_name": "AUGUSTO",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-621-3897",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "98566",
            "state": "FL"
        }
    ],
    "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 Apr 29, 2008; 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.