Active NPI
Jackson Memorial Hospital
- Chronic Disease Hospital
- Miami, FL
National Provider Identifier
1437315868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chronic Disease Hospital
- Legal business name
- JACKSON MEMORIAL HOSPITAL
- Practice address
- 1201 NW 16TH St
VA Hospital
Miami, FL 33125-1624 - Phone
- (305) 575-3173
- NPI assigned
- Aug 5, 2008
- Last updated
- Aug 5, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Federico Mariano Canavosio, MD
- Title
- Geriatric Fellow
- Phone
- (305) 575-7231
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chronic Disease Hospital | 281P00000X | Primary |
Addresses
Primary practice location
1201 NW 16TH St
VA Hospital
Miami, FL 33125-1624
Mailing address
2625 Collins Ave
Apt 411
Miami Beach, FL 33140-4746
Phone (646) 226-7834
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217894400000",
"number": "1437315868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 COLLINS AVE",
"address_2": "APT 411",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331404746",
"telephone_number": "646-226-7834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 NW 16TH ST",
"address_2": "VA HOSPITAL",
"city": "MIAMI",
"state": "FL",
"postal_code": "331251624",
"telephone_number": "305-575-3173"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JACKSON MEMORIAL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-05",
"last_updated": "2008-08-05",
"status": "A",
"authorized_official_last_name": "CANAVOSIO",
"authorized_official_first_name": "FEDERICO",
"authorized_official_middle_name": "MARIANO",
"authorized_official_title_or_position": "GERIATRIC FELLOW",
"authorized_official_telephone_number": "305-575-7231",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "281P00000X",
"taxonomy_group": "",
"desc": "Chronic Disease Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Aug 5, 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.