Individual provider Active NPI

Josefina Fabiola Tur, MD

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1841292695
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME66611 Issued in FL
Practice address
4100 NW 9TH St
Ste 100
Miami, FL 33126-3678
Phone
(305) 642-7111
Fax
(305) 642-0530
NPI assigned
Aug 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME66611 FL Primary

Addresses

Primary practice location

4100 NW 9TH St
Ste 100
Miami, FL 33126-3678

Mailing address

4100 NW 9TH St
Ste 100
Miami, FL 33126-3678
Phone (305) 642-7111

Other identifiers 2

IdentifierTypeStateIssuer
375607600MedicaidFL
25576OtherFLBLUE CROSS/BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040210000764 FL Practitioner - General Practice 1052205143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4100 NW 9TH St
Suite 100
Miami, FL 33126-3678
Phone (305) 642-7111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME66611FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Qualmed of Miami, Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1841292695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 NW 9TH ST",
            "address_2": "STE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263678",
            "telephone_number": "305-642-7111",
            "fax_number": "305-642-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 NW 9TH ST",
            "address_2": "STE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263678",
            "telephone_number": "305-642-7111",
            "fax_number": "305-642-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUR",
        "first_name": "JOSEFINA",
        "middle_name": "FABIOLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-11",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME66611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375607600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "25576",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.