Active NPI
Grace Viado Benemerito
- Dermatology Physician
- Coral Gables, FL
National Provider Identifier
1730730847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 1758402
- Practice address
- 318 Alhambra Cir
Coral Gables, FL 33134-5004 - Phone
- (305) 446-2121
- NPI assigned
- Sep 20, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 1758402 | FL | Primary |
Addresses
Primary practice location
318 Alhambra Cir
Coral Gables, FL 33134-5004
Mailing address
18103 NW 60TH CT
Hialeah, FL 33015-5616
Phone (305) 828-6070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1758402 | FL | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568937600000",
"number": "1730730847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18103 NW 60TH CT",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330155616",
"telephone_number": "305-828-6070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 ALHAMBRA CIR",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331345004",
"telephone_number": "305-446-2121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENEMERITO",
"first_name": "GRACE",
"middle_name": "VIADO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-20",
"last_updated": "2019-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "1758402",
"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 Sep 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.