Individual provider Active NPI

Maria Elaine Jose, M.D.

  • Specialist
  • Miami, FL
National Provider Identifier
1417162595
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME93412 Issued in FL
Practice address
9250 W Flagler St
HC Go
Miami, FL 33174-3414
Phone
(305) 552-2342
Fax
(305) 552-2099
NPI assigned
May 11, 2007
Last updated
Dec 4, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME93412 FL Primary

Addresses

Primary practice location

9250 W Flagler St
HC Go
Miami, FL 33174-3414

Mailing address

400 Alton Rd
Unit 2308
Miami Beach, FL 33139-6702
Phone (202) 549-6866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130617000302 FL Order and Referring Only - Family PracticePractitioner - Family Practice 5496994840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: maria.jose@catc.eclinicaldirectplus.com

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1417162595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ALTON RD",
            "address_2": "UNIT 2308",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331396702",
            "telephone_number": "202-549-6866",
            "fax_number": "305-552-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 W FLAGLER ST",
            "address_2": "HC GO",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331743414",
            "telephone_number": "305-552-2342",
            "fax_number": "305-552-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSE",
        "first_name": "MARIA",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME93412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.