Organization Active NPI

Minerva Santo Tomas MD PA

  • Specialist
  • Miami, FL
National Provider Identifier
1629027214
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME 70314 Issued in FL
Legal business name
MINERVA SANTO TOMAS MD PA
Practice address
6419 SW 40TH St
Miami, FL 33155-4827
Phone
(305) 774-5677
Fax
(305) 774-5697
NPI assigned
May 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Authorized official

Name
Dr. Minerva Santo Tomas, M.D.
Title
Physician/ Owner
Phone
(305) 774-5677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME 70314 FL Primary

Addresses

Primary practice location

6419 SW 40TH St
Miami, FL 33155-4827

Mailing address

6419 SW 40TH St
Miami, FL 33155-4827
Phone (305) 774-5677

Other identifiers 1

IdentifierTypeStateIssuer
254617500MedicaidFL

National Provider Directory

National Provider Directory

Locations

6419 SW Bird Rd
Miami, FL 33155
Phone (305) 662-2530

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1629027214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6419 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554827",
            "telephone_number": "305-774-5677",
            "fax_number": "305-774-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6419 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554827",
            "telephone_number": "305-774-5677",
            "fax_number": "305-774-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINERVA SANTO TOMAS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "SANTO TOMAS",
        "authorized_official_first_name": "MINERVA",
        "authorized_official_title_or_position": "PHYSICIAN/ OWNER",
        "authorized_official_telephone_number": "305-774-5677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME 70314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254617500",
            "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 Nov 20, 2007; 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.