Organization Active NPI

Tuckler Medical Center

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1629113915
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME66056 Issued in FL
Legal business name
TUCKLER MEDICAL CENTER
Practice address
8410 W Flagler St
Suite 215-B
Miami, FL 33144-2092
Phone
(305) 274-4031
Fax
(305) 274-4032
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Domingo Tuckler, M.D.
Title
Physician
Phone
(305) 274-4031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X ME66056 FL Primary

Addresses

Primary practice location

8410 W Flagler St
Suite 215-B
Miami, FL 33144-2092

Mailing address

PO Box 651250
Miami, FL 33265-1250
Phone (305) 274-4031

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629113915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 651250",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332651250",
            "telephone_number": "305-274-4031",
            "fax_number": "305-274-4032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8410 W FLAGLER ST",
            "address_2": "SUITE 215-B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442092",
            "telephone_number": "305-274-4031",
            "fax_number": "305-274-4032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCKLER MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TUCKLER",
        "authorized_official_first_name": "DOMINGO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "305-274-4031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME66056",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.