Individual provider Active NPI

Taranmattie Mangroo, ARNP C

  • Internal Medicine Physician
  • Miami Beach, FL
National Provider Identifier
1629186127
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ARNP9218071 Issued in FL
Practice address
300 71 Street
Suite 620
Miami Beach, FL 33141-4198
Phone
(305) 866-9951
Fax
(305) 614-3352
NPI assigned
Aug 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ARNP9218071 FL Primary

Addresses

Primary practice location

300 71 Street
Suite 620
Miami Beach, FL 33141-4198

Mailing address

P.O. Box 414198
Miami Beach, FL 33141-4198
Phone (305) 866-9951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9218071FLMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629186127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 414198",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331414198",
            "telephone_number": "305-866-9951",
            "fax_number": "305-614-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 71 STREET",
            "address_2": "SUITE 620",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331414198",
            "telephone_number": "305-866-9951",
            "fax_number": "305-614-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGROO",
        "first_name": "TARANMATTIE",
        "name_prefix": "Ms.",
        "credential": "ARNP C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ARNP9218071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.