Organization Active NPI

JMMV PA

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1669560439
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME18675 Issued in FL
Legal business name
JMMV PA
Practice address
8370 W Flagler St
Suite #222
Miami, FL 33144-2094
Phone
(305) 225-4266
Fax
(305) 225-4267
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Han Lobato
Title
Billing Manager
Phone
(305) 238-9199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X ME18675 FL Primary

Addresses

Primary practice location

8370 W Flagler St
Suite #222
Miami, FL 33144-2094

Mailing address

12930 SW 128TH St
Suite 204-A3
Miami, FL 33186-6038
Phone (305) 238-9199

National Provider Directory

National Provider Directory

Locations

12930 SW 128th St
Ste 204A3
Miami, FL 33186

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669560439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12930 SW 128TH ST",
            "address_2": "SUITE 204-A3",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866038",
            "telephone_number": "305-238-9199",
            "fax_number": "305-238-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8370 W FLAGLER ST",
            "address_2": "SUITE #222",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442094",
            "telephone_number": "305-225-4266",
            "fax_number": "305-225-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMMV PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOBATO",
        "authorized_official_first_name": "HAN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "305-238-9199",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME18675",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 22, 2020; 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.