Organization Active NPI

Michael G. Valladares D.O. P.a.

  • Gastroenterology Physician
  • Miami, FL
National Provider Identifier
1750907614
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
MICHAEL G. VALLADARES D.O. P.A.
Doing business as
Digestive Health of South Florida
Practice address
10302 SW 116TH St
Miami, FL 33176-4049
Phone
(305) 469-1936
NPI assigned
Jun 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Authorized official

Name
Dr. Michael G. Valladares, DO
Title
Owner
Phone
(305) 469-1936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

10302 SW 116TH St
Miami, FL 33176-4049

Mailing address

PO Box 165803
Miami, FL 33116-5803
Phone (305) 469-1936

Other identifiers 1

IdentifierTypeStateIssuer
014435000MedicaidFL

Other names 1

  • Digestive Health of South Florida Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@providerassist.net Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1750907614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 165803",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331165803",
            "telephone_number": "305-469-1936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10302 SW 116TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331764049",
            "telephone_number": "305-469-1936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL G. VALLADARES D.O. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "VALLADARES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-469-1936",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014435000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@providerassist.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "12002 SW 128th Ct Ste 205",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331864643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Digestive Health of South Florida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 17, 2020; 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.