Active NPI
Glenda Y Buyo, M.D.
- Family Medicine Physician
- Plantation, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD-435548
- Practice address
- 1806 Plantation LLC
Plantation, FL 33322 - Phone
- (954) 474-0110
- Fax
- (954) 424-9859
- NPI assigned
- May 9, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME125015 | FL | |
| Family Medicine Physician | 207Q00000X | MD-435548 | PA | Primary |
Addresses
Primary practice location
1806 Plantation LLC
Plantation, FL 33322
Mailing address
1806 Plantation LLC
Plantation, FL 33322
Phone (954) 474-0110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102276923 | Medicaid | PA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME125015 | FL | MD | Family Medicine Physician |
| MD-435548 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Dade Primary Care, LLC | Family Medicine | Current | Accepting new patients |
| Primary Care Medical Associates, P.C. | Past | Accepting new patients |
Locations
1190 NW 95th St
Ste 310
Miami, FL 33150
Phone (305) 754-3119
1000 NW 57th Ct
Ste 400
Miami, FL 33126
11211 SW 152nd St
Miami, FL 33157
Phone (305) 255-1355
3345 Burns Rd
Ste 302
Palm Beach Gardens, FL 33410
Phone (561) 622-4047
9835 E Hibiscus St
Palmetto Bay, FL 33157
Phone (305) 238-8561
1806 N Pine Island Rd
Plantation, FL 33322
Phone (954) 474-0110
4700 N Habana Ave
Ste 403
Tampa, FL 33614
Phone (813) 876-9553
Interoperability endpoints
- https://api.platform.athenahealth.com/15805/brand/1/csg/1/fhir/r4
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.
-
- Family Medicine Physician
- Miami, FL
- NPI 1285748285
-
- Internal Medicine Physician
- Dunmore, PA
- NPI 1639403611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626220800000",
"number": "1841467883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1806 PLANTATION LLC",
"city": "PLANTATION",
"state": "FL",
"postal_code": "33322",
"telephone_number": "954-474-0110",
"fax_number": "954-424-9859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1806 PLANTATION LLC",
"city": "PLANTATION",
"state": "FL",
"postal_code": "33322",
"telephone_number": "954-474-0110",
"fax_number": "954-424-9859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUYO",
"first_name": "GLENDA",
"middle_name": "Y",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-09",
"last_updated": "2021-07-14",
"certification_date": "2021-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME125015",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD-435548",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102276923",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.