Primary Health Hospitalist of South Florida LLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

ME46299 Issued in FL

Legal business name

PRIMARY HEALTH HOSPITALIST OF SOUTH FLORIDA LLC

Practice address

1455 SW 27TH Ave
Miami, FL 33145-1234

Phone

(305) 649-3260

Fax

(305) 649-3261

NPI assigned

Aug 25, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Raul Ignacio Tano, M.D.

Title

President

Phone

(305) 649-3260

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251158400000",
    "number": "1689807653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 SW 27TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331451234",
            "telephone_number": "305-649-3260",
            "fax_number": "305-649-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 SW 27TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331451234",
            "telephone_number": "305-649-3260",
            "fax_number": "305-649-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY HEALTH HOSPITALIST OF SOUTH FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2009-08-25",
        "status": "A",
        "authorized_official_last_name": "TANO",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "IGNACIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-649-3260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME46299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.

Verify at the official NPI Registry.