Active NPI
Minerva Santo Tomas MD PA
- Specialist
- Miami, FL
National Provider Identifier
1629027214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME 70314
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 254617500 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
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.