Organization Active NPI

William R Vivas DPM PA

  • Foot Surgery Podiatrist
  • Miami, FL
National Provider Identifier
1629191127
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
PO1733 Issued in FL
Legal business name
WILLIAM R VIVAS DPM PA
Practice address
330 SW 27TH Ave
Suite# 408a
Miami, FL 33135-2961
Phone
(305) 542-5153
Fax
(305) 642-5213
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

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

Authorized official

Name
William R Vivas, DPM
Title
President
Phone
(305) 642-5153

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X PO1733 FL Primary

Addresses

Primary practice location

330 SW 27TH Ave
Suite# 408a
Miami, FL 33135-2961

Mailing address

330 SW 27TH Ave
Suite# 408a
Miami, FL 33135-2961
Phone (305) 542-5153

Other identifiers 2

IdentifierTypeStateIssuer
041398400MedicaidFL
87883OtherFLBCBS

National Provider Directory

National Provider Directory

Locations

330 SW 27th Ave
Ste 408A
Miami, FL 33135
Phone (305) 542-5153

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375920000000",
    "number": "1629191127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SW 27TH AVE",
            "address_2": "SUITE# 408A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352961",
            "telephone_number": "305-542-5153",
            "fax_number": "305-642-5213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 SW 27TH AVE",
            "address_2": "SUITE# 408A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352961",
            "telephone_number": "305-542-5153",
            "fax_number": "305-642-5213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM R VIVAS DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2013-08-08",
        "status": "A",
        "authorized_official_last_name": "VIVAS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-642-5153",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO1733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041398400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "87883",
            "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 Aug 8, 2013; 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.