Active NPI
Raul Ignacio Tano, M.D.
- Family Medicine Physician
- Miami, FL
National Provider Identifier
1437292208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME46299
- Practice address
- 885 SW 109 Ave
Room 131
Miami, FL 33199-0001 - Phone
- (305) 348-3627
- Fax
- (305) 348-4261
- NPI assigned
- Feb 14, 2007
- Last updated
- Jul 18, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME46299 | FL | Primary |
Addresses
Primary practice location
885 SW 109 Ave
Room 131
Miami, FL 33199-0001
Mailing address
11200 SW 8TH St
Ahc 2, 693
Miami, FL 33199-2516
Phone (305) 348-3627
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 271280600 | Medicaid | FL |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Inc | Family Medicine | Past | Accepting new patients |
| Primary Health Associates of South Florida Inc | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Miami, FL
- NPI 1932367166
-
dba Mercy Hospital Medical Group
- Internal Medicine Physician
- Miami, FL
- NPI 1275772469
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342569600000",
"number": "1437292208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11200 SW 8TH ST",
"address_2": "AHC 2, 693",
"city": "MIAMI",
"state": "FL",
"postal_code": "331992516",
"telephone_number": "305-348-3627",
"fax_number": "305-348-4261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "885 SW 109 AVE",
"address_2": "ROOM 131",
"city": "MIAMI",
"state": "FL",
"postal_code": "331990001",
"telephone_number": "305-348-3627",
"fax_number": "305-348-4261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANO",
"first_name": "RAUL",
"middle_name": "IGNACIO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-14",
"last_updated": "2012-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME46299",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "271280600",
"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 Jul 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.