Individual provider Active NPI

Ines G Azcoitia, M.D.

  • General Practice Physician
  • Doral, FL
National Provider Identifier
1578832085
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
27243 Issued in FL
Practice address
4878 NW 108 Court
Doral, FL 33178-4331
Phone
(305) 984-5135
Fax
(786) 662-5389
NPI assigned
Dec 29, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 27243 FL Primary

Addresses

Primary practice location

4878 NW 108 Court
Doral, FL 33178-4331

Mailing address

4878 NW 108 Court
Doral, FL 33178-4331
Phone (305) 984-5135

Other names 1

  • Ines Gonzalez Azcoitia Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
27243FLMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325116800000",
    "number": "1578832085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4878 NW 108 COURT",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784331",
            "telephone_number": "305-984-5135",
            "fax_number": "786-662-5389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4878 NW 108 COURT",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784331",
            "telephone_number": "305-984-5135",
            "fax_number": "786-662-5389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZCOITIA",
        "first_name": "INES",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "27243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "INES",
            "last_name": "AZCOITIA",
            "middle_name": "GONZALEZ",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Doral, FL

Sources for this page

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