NPIMap

Organization Active NPI

Bouza & Miralles Medical Associates

  • Specialist
  • Hialeah, FL
National Provider Identifier
1780824573
Registry record updated Mar 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0052013 Issued in FL
Legal business name
BOUZA & MIRALLES MEDICAL ASSOCIATES
Practice address
690 E 25TH St
Hialeah, FL 33013-3815
Phone
(305) 696-0331
Fax
(305) 696-1239
NPI assigned
Mar 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2009

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

Authorized official

Name
Dr. Manuel Bouza, M.D.NPI 1497860928
Title
President
Phone
(305) 696-0331

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME0052013 FL Primary

Addresses

Primary practice location

690 E 25TH St
Hialeah, FL 33013-3815

Mailing address

690 E 25TH St
Hialeah, FL 33013-3815
Phone (305) 696-0331

National Provider Directory

National Provider Directory

Locations

690 E 25th St
Hialeah, FL 33013
Phone (305) 696-0331

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 2

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": "1236297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236297600000",
    "number": "1780824573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 E 25TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133815",
            "telephone_number": "305-696-0331",
            "fax_number": "305-696-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 E 25TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133815",
            "telephone_number": "305-696-0331",
            "fax_number": "305-696-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUZA & MIRALLES MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-06",
        "last_updated": "2009-03-06",
        "status": "A",
        "authorized_official_last_name": "BOUZA",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-696-0331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0052013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; 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.