Organization Active NPI

Rey Lavandera PA

  • Primary Care Clinic/Center
  • Miami, FL
National Provider Identifier
1831430636
Registry record updated Mar 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
REY LAVANDERA PA
Practice address
1281 NW 6TH St
Suite D-2
Miami, FL 33125-4719
Phone
(305) 319-1339
Fax
(305) 328-9656
NPI assigned
Mar 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2013

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

Authorized official

Name
Reynel Lavandera Sr., NP, PHDNPI 1871625848
Title
President
Phone
(305) 319-1339

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1281 NW 6TH St
Suite D-2
Miami, FL 33125-4719

Mailing address

1281 NW 6TH St
Suite D-2
Miami, FL 33125-4719
Phone (305) 319-1339

Other names 1

  • Lavandera Medical Center Doing business as

National Provider Directory

National Provider Directory

Locations

1281 NW 6th St
#D2
Miami, FL 33125
Phone (305) 319-1339

1281 NW 6th St
Ste D2
Miami, FL 33125
Phone (305) 319-1339

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": "1362441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362441600000",
    "number": "1831430636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1281 NW 6TH ST",
            "address_2": "SUITE D-2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331254719",
            "telephone_number": "305-319-1339",
            "fax_number": "305-328-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1281 NW 6TH ST",
            "address_2": "SUITE D-2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331254719",
            "telephone_number": "305-319-1339",
            "fax_number": "305-328-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REY LAVANDERA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-05",
        "last_updated": "2013-03-05",
        "status": "A",
        "authorized_official_last_name": "LAVANDERA",
        "authorized_official_first_name": "REYNEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-319-1339",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "NP, PHD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lavandera Medical Center",
            "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 Mar 5, 2013; 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.