Organization Active NPI

Guillermo P Gubbins MD PA

  • Gastroenterology Physician
  • Miami, FL
National Provider Identifier
1700973153
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
65439 Issued in FL
Legal business name
GUILLERMO P GUBBINS MD PA
Practice address
3661 S Miami Ave
1006
Miami, FL 33133-4236
Phone
(305) 854-2621
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2010

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

Authorized official

Name
Guillermo Gubbins
Title
Officer
Phone
(305) 854-2621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 65439 FL Primary

Addresses

Primary practice location

3661 S Miami Ave
1006
Miami, FL 33133-4236

Mailing address

3661 S Miami Ave
1006
Miami, FL 33133-4236

Other identifiers 2

IdentifierTypeStateIssuer
1336148972OtherNPI
375047700MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266364800000",
    "number": "1700973153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3661 S MIAMI AVE",
            "address_2": "1006",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 S MIAMI AVE",
            "address_2": "1006",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334236",
            "telephone_number": "305-854-2621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUILLERMO P GUBBINS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2010-02-17",
        "status": "A",
        "authorized_official_last_name": "GUBBINS",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "305-854-2621"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "65439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1336148972",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375047700",
            "state": "FL"
        }
    ],
    "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 17, 2010; 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.