Individual provider Active NPI

Francisco G Tudela Jr., M.D

  • Obstetrics & Gynecology Physician
  • Hialeah, FL
National Provider Identifier
1538185707
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME36365 Issued in FL
Practice address
777 E 25TH St Ste 106
Hialeah, FL 33013-3804
Phone
(305) 691-1171
Fax
(844) 798-8918
NPI assigned
Jul 14, 2006
Last updated
Nov 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME36365 FL Primary

Addresses

Primary practice location

777 E 25TH St Ste 106
Hialeah, FL 33013-3804

Mailing address

777 E 25TH St Ste 106
Hialeah, FL 33013-3804
Phone (305) 691-1171

Other practice location 1

11760 SW 40th St Ste 729
Miami, FL 33175-8102
Phone (305) 559-8787

Other identifiers 3

IdentifierTypeStateIssuer
591389214OtherFLTAX ID
058554800MedicaidFL
95746YMedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110701000145 FL Practitioner - Obstetrics/Gynecology 7315125846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Francisco G Tudela M.D PAGroup PAC ID 1951589480, 2 clinicians

Practice addresses (Care Compare)

11760 SW 40TH St
Suite 729
Miami, FL 33175-8102
Phone (305) 559-8787

777 E 25TH St
Hialeah, FL 33013-3804

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Francisco G Tudela M.D PA Specialist CurrentSince May 22, 2011 Accepting new patients
Francisco G Tudela M.D PA Single Specialty Current Accepting new patients

Locations

777 E 25th St
Ste 106
Hialeah, FL 33013
Phone (305) 559-8787

11760 SW 40th St
Ste 729
Miami, FL 33175
Phone (305) 559-2779

Interoperability endpoints

  • Direct secure messaging: tudela.francisco.012.0090297@fgtmd.meditab.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1538185707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 E 25TH ST STE 106",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133804",
            "telephone_number": "305-691-1171",
            "fax_number": "844-798-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E 25TH ST STE 106",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133804",
            "telephone_number": "305-691-1171",
            "fax_number": "844-798-8918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11760 SW 40th St Ste 729",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331758102",
            "country_code": "US",
            "telephone_number": "305-559-8787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUDELA",
        "first_name": "FRANCISCO",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME36365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "591389214",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "058554800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95746Y",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.