Active NPI
Ligia M Re, PA
- Physician Assistant
- Florida City, FL
National Provider Identifier
1487879417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9100838
- Practice address
- 19000 SW 377TH St
Florida City, FL 33034-6407 - Phone
- (786) 349-2369
- NPI assigned
- Apr 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9100838 | FL | Primary |
Addresses
Primary practice location
19000 SW 377TH St
Florida City, FL 33034-6407
Mailing address
14529 SW 171 Ter
Miami, FL 33177
Phone (305) 254-3344
Other practice location 1
1150 NW 72 Ave
Suite 310
Miami, FL 33126
Phone (305) 597-0869
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA 9100838 | Other | FL | PHYSICIAN ASSISTANT |
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)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9100838 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adcos 75 Medical Group, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Miami, FL
- NPI 1881643864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681776000000",
"number": "1487879417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14529 SW 171 TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "33177",
"telephone_number": "305-254-3344",
"fax_number": "305-254-3344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19000 SW 377TH ST",
"city": "FLORIDA CITY",
"state": "FL",
"postal_code": "330346407",
"telephone_number": "786-349-2369"
}
],
"practiceLocations": [
{
"address_1": "1150 NW 72 Ave",
"address_2": "Suite 310",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "33126",
"country_code": "US",
"telephone_number": "305-597-0869",
"fax_number": "305-597-0873",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RE",
"first_name": "LIGIA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2023-04-18",
"certification_date": "2023-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9100838",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN ASSISTANT",
"identifier": "PA 9100838",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Florida City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.