Organization Active NPI

Elite Health Primary Care PA

  • Internal Medicine Physician
  • Miami Beach, FL
National Provider Identifier
1831425073
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ELITE HEALTH PRIMARY CARE PA
Practice address
4302 Alton Rd
Suite 300
Miami Beach, FL 33140-2891
Phone
(305) 672-9989
Fax
(305) 672-3284
NPI assigned
Oct 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Authorized official

Name
Alicia Ledo
Title
Administrator
Phone
(305) 672-9989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

4302 Alton Rd
Suite 300
Miami Beach, FL 33140-2891

Mailing address

4302 Alton Rd
Suite 300
Miami Beach, FL 33140-2891
Phone (305) 672-9989

National Provider Directory

National Provider Directory
Tax ID family
Elite Health Primary Care PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1831425073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD",
            "address_2": "SUITE 300",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402891",
            "telephone_number": "305-672-9989",
            "fax_number": "305-672-3284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD",
            "address_2": "SUITE 300",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402891",
            "telephone_number": "305-672-9989",
            "fax_number": "305-672-3284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HEALTH PRIMARY CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-22",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "LEDO",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-672-9989"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.