NPIMap

Organization Active NPI

South Florida Infectious Disease and Tropical Medicine Center LLC

  • Infectious Disease Physician
  • South Miami, FL
National Provider Identifier
1609832559
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME0059704 Issued in FL
Legal business name
SOUTH FLORIDA INFECTIOUS DISEASE AND TROPICAL MEDICINE CENTER LLC
Practice address
5975 Sunset Dr Ste 103
South Miami, FL 33143-5198
Phone
(305) 666-4044
Fax
(305) 667-8387
NPI assigned
Apr 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Authorized official

Name
Jorge Mejia, MDNPI 1508808734
Title
Vice President
Phone
(056) 666-4044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X ME0059704 FL Primary

Addresses

Primary practice location

5975 Sunset Dr Ste 103
South Miami, FL 33143-5198

Mailing address

5975 Sunset Dr Ste 103
South Miami, FL 33143-5198
Phone (305) 666-4044

Other identifiers 1

IdentifierTypeStateIssuer
280508100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071203000050 FL Part B Supplier - Clinic/Group Practice 0345339164 Receives reassigned benefits from 13 practitioners
Practice locations: South Miami, FL

National Provider Directory

National Provider Directory

Locations

975 Baptist Way
#202
Homestead, FL 33033
Phone (305) 595-1594

8740 N Kendall Dr
Ste 208
Miami, FL 33176
Phone (305) 595-1594

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670544000000",
    "number": "1609832559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5975 SUNSET DR STE 103",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435198",
            "telephone_number": "305-666-4044",
            "fax_number": "305-666-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5975 SUNSET DR STE 103",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435198",
            "telephone_number": "305-666-4044",
            "fax_number": "305-667-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA INFECTIOUS DISEASE AND TROPICAL MEDICINE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A",
        "authorized_official_last_name": "MEJIA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "056-666-4044",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME0059704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280508100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.