Organization Active NPI

David M Trueba Mdpa

  • Nephrology Physician
  • Miami, FL
National Provider Identifier
1578830840
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME90860 Issued in FL
Legal business name
DAVID M TRUEBA MDPA
Practice address
11760 SW 83Rd CT
Miami, FL 33156-5127
Phone
(786) 493-4525
NPI assigned
Nov 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Authorized official

Name
David M Trueba, M.D.
Title
President
Phone
(786) 493-4525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X ME90860 FL Primary

Addresses

Primary practice location

11760 SW 83Rd CT
Miami, FL 33156-5127

Mailing address

11760 SW 83Rd CT
Miami, FL 33156-5127
Phone (786) 493-4525

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1578830840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11760 SW 83RD CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331565127",
            "telephone_number": "786-493-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 SW 83RD CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331565127",
            "telephone_number": "786-493-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M TRUEBA MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "TRUEBA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-493-4525",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME90860",
            "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 Nov 30, 2011; 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.