Individual provider Active NPI

Vicente Chavarria, M.D.

  • Allergy & Immunology Physician
  • Miami, FL
National Provider Identifier
1619949005
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
60493 Issued in FL
Practice address
10700 N Kendall Dr Ste 304
Miami, FL 33176-1469
Phone
(305) 670-7006
Fax
(305) 670-7806
NPI assigned
Feb 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X ME60493 FL
Allergy & Immunology Physician 207K00000X 60493 FL Primary

Addresses

Primary practice location

10700 N Kendall Dr Ste 304
Miami, FL 33176-1469

Mailing address

10700 N Kendall Dr Ste 304
Miami, FL 33176-1469
Phone (305) 670-7006

Other practice location 1

1490 W 49th Pl Ste 508
Hialeah, FL 33012-3190
Phone (305) 825-9300

Other identifiers 1

IdentifierTypeStateIssuer
375946601MedicaidFL

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
I20110808000655 FL Practitioner - Allergy/Immunology 4587833546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10700 N Kendall Dr
Suite 304
Miami, FL 33176-1469

1490 W 49TH PL
Suite 508
Hialeah, FL 33012-3190
Phone (305) 825-9300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60493FLMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vicente a. Chavarria M.D. P.a. Allergy & Immunology CurrentSince Dec 22, 2010 Accepting new patients

Locations

1490 W 49th Pl
Ste 508
Hialeah, FL 33012
Phone (305) 825-9300

10700 N Kendall Dr
Ste 304
Miami, FL 33176
Phone (305) 330-1066

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1619949005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 N KENDALL DR STE 304",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761469",
            "telephone_number": "305-670-7006",
            "fax_number": "305-670-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 N KENDALL DR STE 304",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761469",
            "telephone_number": "305-670-7006",
            "fax_number": "305-670-7806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1490 W 49th Pl Ste 508",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330123190",
            "country_code": "US",
            "telephone_number": "305-825-9300",
            "fax_number": "305-670-7806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVARRIA",
        "first_name": "VICENTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME60493",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "60493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375946601",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.