Organization Active NPI

Miami Oncology Institute PA

  • Hematology & Oncology Physician
  • Coral Gables, FL
National Provider Identifier
1669541967
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
ME31968 Issued in FL
Legal business name
MIAMI ONCOLOGY INSTITUTE PA
Practice address
747 Ponce de Leon Blvd Ste 503a
Coral Gables, FL 33134-2073
Phone
(305) 261-9293
Fax
(305) 446-6078
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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

Authorized official

Name
Eduardo Enrique Acle, MD
Title
President
Phone
(305) 261-9293

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X ME31968 FL Primary

Addresses

Primary practice location

747 Ponce de Leon Blvd Ste 503a
Coral Gables, FL 33134-2073

Mailing address

747 Ponce de Leon Blvd
Suite 503a
Coral Gables, FL 33134-2049
Phone (305) 261-9293

Other identifiers 10

IdentifierTypeStateIssuer
36-70005OtherUNITED HEALTHCARE
066025600MedicaidFL
208156OtherAVMED
224781OtherAMERIGROUP
995088OtherNEIGHBORHOOD
442315OtherMEDICA
00679OtherHEALTHSUN
10718OtherTOTAL HEALTH CHOICE
4994248OtherCIGNA
0027EOtherPREFERRED CARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372204800000",
    "number": "1669541967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 PONCE DE LEON BLVD",
            "address_2": "SUITE 503A",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342049",
            "telephone_number": "305-261-9293",
            "fax_number": "305-446-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 PONCE DE LEON BLVD STE 503A",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342073",
            "telephone_number": "305-261-9293",
            "fax_number": "305-446-6078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI ONCOLOGY INSTITUTE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2013-06-26",
        "status": "A",
        "authorized_official_last_name": "ACLE",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-261-9293",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME31968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "36-70005",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "066025600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "208156",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "224781",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD",
            "identifier": "995088",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "442315",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSUN",
            "identifier": "00679",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TOTAL HEALTH CHOICE",
            "identifier": "10718",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4994248",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "0027E",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.