Organization Active NPI

Ernesto C. Boudet MD PA

  • Family Medicine Physician
  • Coral Gables, FL
National Provider Identifier
1710263330
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ERNESTO C. BOUDET MD PA
Practice address
717 Ponce de Leon Blvd
Ste 321
Coral Gables, FL 33134-2050
Phone
(305) 476-9990
Fax
(305) 476-9020
NPI assigned
Oct 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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

Authorized official

Name
Ernesto C Boudet, MD PA
Title
President
Phone
(305) 476-9990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

717 Ponce de Leon Blvd
Ste 321
Coral Gables, FL 33134-2050

Mailing address

717 Ponce de Leon Blvd.
Ste 321
Coral Gables, FL 33134-2050
Phone (305) 476-9990

National Provider Directory

National Provider Directory

Locations

717 Ponce de Leon Blvd
Ste 321
Coral Gables, FL 33134
Phone (305) 403-1059

NPI Registry JSON

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1710263330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 PONCE DE LEON BLVD.",
            "address_2": "STE 321",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342050",
            "telephone_number": "305-476-9990",
            "fax_number": "305-476-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 PONCE DE LEON BLVD",
            "address_2": "STE 321",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342050",
            "telephone_number": "305-476-9990",
            "fax_number": "305-476-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNESTO C. BOUDET MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-27",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "BOUDET",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-476-9990",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 27, 2011; 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.