Organization Active NPI

Beatriz E Amendola MD PA

  • Radiation Oncology Physician
  • South Miami, FL
National Provider Identifier
1750694493
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
BEATRIZ E AMENDOLA MD PA
Practice address
5995 SW 71St St
#1A
South Miami, FL 33143-3500
Phone
(305) 598-0811
NPI assigned
Jul 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2015

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

Authorized official

Name
Beatriz E Amendola, MDNPI 1073511333
Title
Owner
Phone
(305) 598-0811

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
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

5995 SW 71St St
#1A
South Miami, FL 33143-3500

Mailing address

5995 SW 71St St
#1A
South Miami, FL 33143-3500
Phone (305) 598-0811

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101207001093 FL Part B Supplier - Clinic/Group Practice 7618164328 Receives reassigned benefits from 5 practitioners
Practice locations: Coral Gables, FL; Hialeah, FL; South Miami, FL

National Provider Directory

National Provider Directory
Tax ID family
Beatriz E Amendola 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

96 W 21st St
Hialeah, FL 33010
Phone (305) 669-6833

9300 SW 87th Ave
Ste 3
Miami, FL 33176
Phone (305) 270-3113

5995 SW 71st St
#1A
South Miami, FL 33143
Phone (305) 598-0811

5995 SW 71st St
Ste 1A
South Miami, FL 33143
Phone (305) 669-6833

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426464000000",
    "number": "1750694493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5995 SW 71ST ST",
            "address_2": "#1A",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433500",
            "telephone_number": "305-598-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5995 SW 71ST ST",
            "address_2": "#1A",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433500",
            "telephone_number": "305-598-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEATRIZ E AMENDOLA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-23",
        "last_updated": "2015-03-16",
        "status": "A",
        "authorized_official_last_name": "AMENDOLA",
        "authorized_official_first_name": "BEATRIZ",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-598-0811",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; 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.