Individual provider Active NPI

Glenda Y Buyo, M.D.

  • Family Medicine Physician
  • Plantation, FL
National Provider Identifier
1841467883
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD-435548 Issued in PA
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

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
102276923MedicaidPA

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
I20160201002720 FL Practitioner - Family Practice 0941367262 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME125015FLMDFamily Medicine Physician
MD-435548PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Dade Primary Care, LLC Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
Primary Care Medical Associates, P.C. PastSince May 15, 2013 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.