Active NPI
Julio C Poveda, M.D
- General Practice Physician
- Florida City, FL
National Provider Identifier
1649401720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME69665
- Practice address
- 19200 SW 377 St
Florida City, FL 33034 - Phone
- (305) 242-2300
- NPI assigned
- Aug 6, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ME69665 | FL | Primary |
Addresses
Primary practice location
19200 SW 377 St
Florida City, FL 33034
Mailing address
15807 SW 99TH St
Miami, FL 33196-6110
Phone (305) 382-2899
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME69665 | FL | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249516800000",
"number": "1649401720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15807 SW 99TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331966110",
"telephone_number": "305-382-2899",
"fax_number": "305-752-5096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19200 SW 377 ST",
"city": "FLORIDA CITY",
"state": "FL",
"postal_code": "33034",
"telephone_number": "305-242-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POVEDA",
"first_name": "JULIO",
"middle_name": "C",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-06",
"last_updated": "2009-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME69665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florida City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.