Organization Active NPI

Josefina F Tur MD PA

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1730285768
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME-0066611 Issued in FL
Legal business name
JOSEFINA F TUR MD PA
Practice address
4100 NW 9TH St
Ste 100
Miami, FL 33126-3678
Phone
(305) 642-7111
Fax
(305) 642-0530
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
Dr. Josefina Fabiola Tur, MDNPI 1841292695
Title
President
Phone
(305) 642-7111

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: 193400000X SINGLE SPECIALTY GROUP 208D00000X ME-0066611 FL Primary

Addresses

Primary practice location

4100 NW 9TH St
Ste 100
Miami, FL 33126-3678

Mailing address

4100 NW 9TH St
Ste 100
Miami, FL 33126-3678
Phone (305) 642-7111

Other identifiers 2

IdentifierTypeStateIssuer
25576OtherFLBLUECROSS BLUESHIELD PROV
375607600MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040928000880 FL Part B Supplier - Clinic/Group Practice 7315916251 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2060178Josefina F Tur MD PA4100 NW 9TH St Ste 100, Miami, FL 33126Certificate of waiverFeb 25, 2027

National Provider Directory

National Provider Directory

Locations

1435 W 49th Pl
Ste 306
Hialeah, FL 33012
Phone (305) 364-9949

4100 NW 9th St
Ste 100
Miami, FL 33126
Phone (305) 301-6516

Practitioners & affiliated clinicians

Practitioners 4

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": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1730285768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 NW 9TH ST",
            "address_2": "STE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263678",
            "telephone_number": "305-642-7111",
            "fax_number": "305-642-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 NW 9TH ST",
            "address_2": "STE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263678",
            "telephone_number": "305-642-7111",
            "fax_number": "305-642-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEFINA F TUR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "TUR",
        "authorized_official_first_name": "JOSEFINA",
        "authorized_official_middle_name": "FABIOLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-642-7111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME-0066611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD PROV",
            "identifier": "25576",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375607600",
            "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 Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.