Organization Active NPI

Glenn J. Barquet, MD, PA

  • Cardiovascular Disease Physician
  • Miami, FL
National Provider Identifier
1538293980
Registry record updated Feb 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME81112 Issued in FL
Legal business name
GLENN J. BARQUET, MD, PA
Practice address
4100 S Red Rd
Miami, FL 33155-5319
Phone
(305) 856-1064
Fax
(305) 856-0644
NPI assigned
Mar 16, 2007
Last updated
Feb 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2016

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

Authorized official

Name
Dr. Glenn J Barquet, MD
Title
Owner
Phone
(305) 856-1064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME81112 FL Primary

Addresses

Primary practice location

4100 S Red Rd
Miami, FL 33155-5319

Mailing address

4100 S Red Rd
Miami, FL 33155-5319
Phone (305) 856-1064

Other identifiers 1

IdentifierTypeStateIssuer
260970300MedicaidFL

National Provider Directory

National Provider Directory

Locations

3661 S Miami Ave
Ste 910
Miami, FL 33133
Phone (305) 856-1064

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454284800000",
    "number": "1538293980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 S RED RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555319",
            "telephone_number": "305-856-1064",
            "fax_number": "305-856-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 S RED RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555319",
            "telephone_number": "305-856-1064",
            "fax_number": "305-856-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN J. BARQUET, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2016-02-01",
        "status": "A",
        "authorized_official_last_name": "BARQUET",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-856-1064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME81112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260970300",
            "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 Feb 1, 2016; 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.