Organization Active NPI

University of Miami

Doing business as UMiami Medicine - Family Medicine

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1821048380
Registry record updated Dec 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UNIVERSITY OF MIAMI
Doing business as
UMiami Medicine - Family Medicine
Practice address
1611 NW 12TH Ave
Box 016960 M851
Miami, FL 33136-1005
Phone
(305) 243-7688
Fax
(305) 243-8470
NPI assigned
May 12, 2006
Last updated
Dec 31, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2019

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

Authorized official

Name
Cesia A Sanchez
Title
Provider Enrollment Manager
Phone
(305) 243-6837

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

1611 NW 12TH Ave
Box 016960 M851
Miami, FL 33136-1005

Mailing address

1611 NW 12TH Ave
Box 016960 M851
Miami, FL 33136-1005
Phone (305) 243-7688

Other identifiers 1

IdentifierTypeStateIssuer
055614900MedicaidFL

Other names 1

  • UMiami Medicine - Family Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200406001006 FL Part B Supplier - Clinic/Group Practice 3274795109 Receives reassigned benefits from 3,555 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory

Locations

1489 W Palmetto Park Rd
Ste 305
Boca Raton, FL 33486

5555 Ponce de Leon Blvd
Ste 465
Coral Gables, FL 33146

6458 Linton Blvd
Delray Beach, FL 33484
Phone (561) 638-3403

4801 N Federal Hwy
Ste 102
Ft Lauderdale, FL 33308
Phone (954) 202-0242

12001 Southern Blvd
Loxahatchee, FL 33470
Phone (561) 784-7403

1120 NW 14th St
Miami, FL 33136
Phone (305) 243-2000

1120 NW 14th St
#864
Miami, FL 33136

1120 NW 14th St
Rm 859
Miami, FL 33136

1120 NW 14th St
Ste 1267
Miami, FL 33136

1120 NW 14th St
Ste 223
Miami, FL 33136

1120 NW 14th St
Ste 859
Miami, FL 33136

1130 NW 14th St
Ste 223
Miami, FL 33136

1150 NW 14th St
Fl 5
Miami, FL 33136
Phone (305) 243-4906

1150 NW 14th St
Ste 402
Miami, FL 33136

11690 SW 72nd St
Miami, FL 33173
Phone (305) 507-5573

1200 NW 6th Ave
Miami, FL 33136
Phone (305) 668-1002

17101 NE 7th Ave
Miami, FL 33162

1751 NW 36th St
Miami, FL 33142

1801 NW 9th Ave
Fl 4
Miami, FL 33136

1801 NW 9th Ave
Ste 420
Miami, FL 33136
Phone (305) 689-7072

1536 NE 179th St
North Miami Beach, FL 33162
Phone (305) 243-9110

218 Royal Palm Way
Palm Beach, FL 33480
Phone (305) 243-2327

Practitioners & affiliated clinicians

Practitioners 36

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.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577750400000",
    "number": "1821048380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "address_2": "BOX 016960 M851",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "305-243-7688",
            "fax_number": "305-243-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "address_2": "BOX 016960 M851",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "305-243-7688",
            "fax_number": "305-243-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF MIAMI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "CESIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT MANAGER",
        "authorized_official_telephone_number": "305-243-6837"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055614900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UMiami Medicine - Family Medicine",
            "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 Dec 31, 2019; 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.