Active NPI
North Gables Foot Clinic
- Durable Medical Equipment & Medical Supplies
- Miami, FL
National Provider Identifier
1629451273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- PO2330
- Legal business name
- NORTH GABLES FOOT CLINIC
- Practice address
- 4540 NW 7TH St
Miami, FL 33126-2307 - Phone
- (305) 461-3448
- NPI assigned
- Jul 1, 2015
- 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. Ricardo Reyes, DPM
- Title
- President
- Phone
- (305) 461-3448
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO2330 | FL | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | PO2330 | FL | Primary |
Addresses
Primary practice location
4540 NW 7TH St
Miami, FL 33126-2307
Mailing address
4540 NW 7TH St
Miami, FL 33126-2307
Phone (305) 461-3448
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24420 | Other | FL | MEDICARE PTAN NUMBER |
National Provider Directory
National Provider Directory- Tax ID family
- North Gables Foot Clinic
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Podiatrist
- Miami, FL
- NPI 1851492664
-
- Podiatrist
- Miami, FL
- NPI 1063577476
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Miami, FL
- NPI 1790742930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435708800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1435708800000",
"number": "1629451273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4540 NW 7TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331262307",
"telephone_number": "305-461-3448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4540 NW 7TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331262307",
"telephone_number": "305-461-3448"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH GABLES FOOT CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-01",
"last_updated": "2015-07-01",
"status": "A",
"authorized_official_last_name": "REYES",
"authorized_official_first_name": "RICARDO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-461-3448",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO2330",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "FL",
"license": "PO2330",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN NUMBER",
"identifier": "24420",
"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 Jul 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.