NPIMap

Organization Active NPI

Lung and Critical Care Specialists of South Florida

  • Pulmonary Disease Physician
  • Miami, FL
National Provider Identifier
1750709622
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
LUNG AND CRITICAL CARE SPECIALISTS OF SOUTH FLORIDA
Practice address
12905 SW 42ND St
Miami, FL 33175-2905
Phone
(305) 332-3442
NPI assigned
Mar 28, 2014
Last updated
Mar 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

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

Authorized official

Name
Dr. Javier Gonzalez, M.D.NPI 1669791224
Title
Manager
Phone
(305) 332-3442

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X
Pulmonary Disease Physician 207RP1001X Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X

Addresses

Primary practice location

12905 SW 42ND St
Miami, FL 33175-2905

Mailing address

12745 NW 8TH LN
Miami, FL 33182-1858
Phone (305) 332-3442

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140929001545 FL Part B Supplier - Clinic/Group Practice 5597985366 Receives reassigned benefits from 9 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

12905 SW 42nd St
Miami, FL 33175
Phone (305) 705-5651

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 9

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": "1395964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395964800000",
    "number": "1750709622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12745 NW 8TH LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331821858",
            "telephone_number": "305-332-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12905 SW 42ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331752905",
            "telephone_number": "305-332-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNG AND CRITICAL CARE SPECIALISTS OF SOUTH FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-28",
        "last_updated": "2014-03-28",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-332-3442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Mar 28, 2014; 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.