Active NPI
Tamayo Chelala and Miller PA
- Internal Medicine Physician
- Miami Beach, FL
National Provider Identifier
1528090305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34513 | Other | FL | BLUE CROSS BLUE SHIELD |
| 268874300 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
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.