Internal Medicine, Primary Care Associates of South Florida, P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME77891 Issued in FL

Legal business name

INTERNAL MEDICINE, PRIMARY CARE ASSOCIATES OF SOUTH FLORIDA, P.A.

Practice address

301 NE 167TH St
North Miami Beach, FL 33162-2304

Phone

(305) 940-0522

Fax

(305) 653-1138

NPI assigned

Jun 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Victor I Tamayo, M.D.

Title

Physician

Phone

(305) 940-0522

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249430400000",
    "number": "1821291188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 NE 167TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331622304",
            "telephone_number": "305-940-0522",
            "fax_number": "305-653-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 NE 167TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331622304",
            "telephone_number": "305-940-0522",
            "fax_number": "305-653-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE, PRIMARY CARE ASSOCIATES OF SOUTH FLORIDA, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2009-08-05",
        "status": "A",
        "authorized_official_last_name": "TAMAYO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "305-940-0522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME77891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258494800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in North Miami Beach, FL
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.