Individual provider Active NPI

Gabriel Novoa Jr., MD

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1770501967
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME039500 Issued in FL
Practice address
7101 SW 99TH Ave
Suite 109-a
Miami, FL 33173-4661
Phone
(305) 596-4465
Fax
(305) 596-4495
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME039500 FL Primary

Addresses

Primary practice location

7101 SW 99TH Ave
Suite 109-a
Miami, FL 33173-4661

Mailing address

7101 SW 99TH Ave
Suite 109-a
Miami, FL 33173-4661
Phone (305) 596-4465

Other identifiers 1

IdentifierTypeStateIssuer
067695100MedicaidFL

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME039500FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alberto B Alonso MD PA Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1770501967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 SW 99TH AVE",
            "address_2": "SUITE 109-A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331734661",
            "telephone_number": "305-596-4465",
            "fax_number": "305-596-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 SW 99TH AVE",
            "address_2": "SUITE 109-A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331734661",
            "telephone_number": "305-596-4465",
            "fax_number": "305-596-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVOA",
        "first_name": "GABRIEL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME039500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "067695100",
            "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 Jun 16, 2008; 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.