Organization Active NPI

William Tejeiro M D PA

  • Medical Specialty Clinic/Center
  • Miami, FL
National Provider Identifier
1508031170
Registry record updated Apr 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
ME0058822 Issued in FL
Legal business name
WILLIAM TEJEIRO M D PA
Practice address
3899 NW 7TH St
#200
Miami, FL 33126-5551
Phone
(305) 642-5661
Fax
(305) 642-5664
NPI assigned
Apr 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2009

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

Authorized official

Name
Dr. William Tejeiro, MDNPI 1417052531
Title
President
Phone
(305) 642-5661

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X ME0058822 FL Primary

Addresses

Primary practice location

3899 NW 7TH St
#200
Miami, FL 33126-5551

Mailing address

PO Box 430106
Miami, FL 33243-0106
Phone (305) 642-5661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090824000070 FL Part B Supplier - Clinic/Group Practice 9739233925 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

3899 NW 7th St
Miami, FL 33126

3899 NW 7th St
Ste 200
Miami, FL 33126
Phone (305) 642-5661

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240876800000",
    "number": "1508031170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430106",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332430106",
            "telephone_number": "305-642-5661",
            "fax_number": "305-642-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3899 NW 7TH ST",
            "address_2": "#200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265551",
            "telephone_number": "305-642-5661",
            "fax_number": "305-642-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM TEJEIRO M D PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2009-04-28",
        "status": "A",
        "authorized_official_last_name": "TEJEIRO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-642-5661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME0058822",
            "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 Apr 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.