Organization Active NPI

Fred S. Mann, M.D., P.a.

  • Ophthalmology Physician
  • Miami, FL
National Provider Identifier
1497086631
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME0051964 Issued in FL
Legal business name
FRED S. MANN, M.D., P.A.
Practice address
1313 SW 27TH Ave
Miami, FL 33145-1252
Phone
(305) 858-2228
Fax
(305) 541-3220
NPI assigned
Jan 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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

Authorized official

Name
Ivette Cruz Rosenberg
Title
Administrator
Phone
(305) 858-2228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X ME0051964 FL Primary

Addresses

Primary practice location

1313 SW 27TH Ave
Miami, FL 33145-1252

Mailing address

1313 SW 27TH Ave
Miami, FL 33145-1252
Phone (305) 858-2228

Other identifiers 1

IdentifierTypeStateIssuer
061433500MedicaidFL

National Provider Directory

National Provider Directory

Locations

2645 SW 37th Ave
Fl 4
Miami, FL 33133
Phone (305) 461-3229

NPI Registry JSON

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1497086631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 SW 27TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331451252",
            "telephone_number": "305-858-2228",
            "fax_number": "305-541-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 SW 27TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331451252",
            "telephone_number": "305-858-2228",
            "fax_number": "305-541-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED S. MANN, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-28",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "IVETTE",
        "authorized_official_middle_name": "CRUZ",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-858-2228"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0051964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061433500",
            "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 Jan 28, 2010; 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.