Organization Active NPI

Rogelio Iglesias MD PA

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1700822186
Registry record updated Feb 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ROGELIO IGLESIAS MD PA
Practice address
31 Tamiami Canal Rd
Miami, FL 33144-2538
Phone
(305) 267-5950
NPI assigned
Jun 22, 2006
Last updated
Feb 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2009

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

Authorized official

Name
Rogelio Iglesias, MDNPI 1619913878
Title
President
Phone
(305) 267-5950

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

31 Tamiami Canal Rd
Miami, FL 33144-2538

Mailing address

31 Tamiami Canal Rd
Miami, FL 33144-2538
Phone (305) 267-5950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050509000622 FL Part B Supplier - Clinic/Group Practice 1456391572 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory
Tax ID family
Rogelio Iglesias MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2255 SW 32nd Ave
Ste 204
Miami, FL 33145
Phone (305) 443-7510

2360 NW 36th St
Miami, FL 33142
Phone (305) 635-1686

7821 Coral Way
Miami, FL 33155
Phone (305) 264-7331

7821 Coral Way
Ste 132B
Miami, FL 33155
Phone (305) 264-6822

Practitioners & affiliated clinicians

Practitioners 3

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": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1700822186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 TAMIAMI CANAL RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442538",
            "telephone_number": "305-267-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 TAMIAMI CANAL RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442538",
            "telephone_number": "305-267-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGELIO IGLESIAS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2009-02-25",
        "status": "A",
        "authorized_official_last_name": "IGLESIAS",
        "authorized_official_first_name": "ROGELIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-267-5950",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "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 Feb 25, 2009; 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.