Ta Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME87045 Issued in FL

Legal business name

TA MEDICAL GROUP

Practice address

6498 Coral Way
Miami, FL 33155

Phone

(305) 668-7047

Fax

(305) 668-7199

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Teresa B Alfonso, MDNPI 1326072448

Title

Owner

Phone

(305) 668-7047

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Teresa B Alfonso, M.D.

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1326072448
  Medicare reassignment Care Compare group Authorized official
• Joel C Armas, MD

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1700112208
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1659420974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6498 CORAL WAY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33155",
            "telephone_number": "305-668-7047",
            "fax_number": "305-668-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6498 CORAL WAY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33155",
            "telephone_number": "305-668-7047",
            "fax_number": "305-668-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "ALFONSO",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-668-7047",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME87045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• T&M Behavioral Therapy LLC
• T&M Diagnostic Services
• T&O Medical Supplies Inc
• T&S Behavior Services LLC
• Ta Jose and Sol Corp
• Andrew Khanh Ta, M.D.
• Taam Group Inc
• Jeremy Tabak
• Mirielys Tabares de Armas
• Thalia Tabares Perez

• Internal Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.