Emmanuella Theus, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME057382 Issued in FL

Practice address

1240 NW 119TH St
Miami, FL 33167-3232

Phone

(305) 685-5688

Fax

(305) 688-7995

NPI assigned

Jul 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1457384406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 CORPORATE CENTER DR",
            "address_2": "SUITE 600",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331261200",
            "telephone_number": "305-500-2000",
            "fax_number": "305-500-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 NW 119TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331673232",
            "telephone_number": "305-685-5688",
            "fax_number": "305-688-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEUS",
        "first_name": "EMMANUELLA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME057382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051295800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Miami, FL
• Providers in Miami, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.