Organization Active NPI

Tamayo Chelala and Miller PA

  • Internal Medicine Physician
  • Miami Beach, FL
National Provider Identifier
1528090305
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TAMAYO CHELALA AND MILLER PA
Practice address
4302 Alton Rd
Suite 490
Miami Beach, FL 33140-2891
Phone
(305) 674-6797
Fax
(305) 674-0784
NPI assigned
Jul 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Andre Tamayo Chelala, DO
Title
Physician
Phone
(305) 674-6797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X FL Primary

Addresses

Primary practice location

4302 Alton Rd
Suite 490
Miami Beach, FL 33140-2891

Mailing address

4302 Alton Rd
Suite 490
Miami Beach, FL 33140-2891
Phone (305) 674-6797

Other identifiers 2

IdentifierTypeStateIssuer
34513OtherFLBLUE CROSS BLUE SHIELD
268874300MedicaidFL

National Provider Directory

National Provider Directory

Locations

4302 Alton Rd
Ste 490
Miami Beach, FL 33140
Phone (305) 532-6262

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1528090305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD",
            "address_2": "SUITE 490",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402891",
            "telephone_number": "305-674-6797",
            "fax_number": "305-674-0784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD",
            "address_2": "SUITE 490",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402891",
            "telephone_number": "305-674-6797",
            "fax_number": "305-674-0784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMAYO CHELALA AND MILLER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "TAMAYO CHELALA",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "305-674-6797",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "34513",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268874300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.

Verify at the official NPI Registry.