Organization Active NPI

Francisco G Tudela M.D PA

  • Obstetrics & Gynecology Physician
  • Miami, FL
National Provider Identifier
1841946472
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
FRANCISCO G TUDELA M.D PA
Practice address
11760 SW 40TH St Ste 729
Miami, FL 33175-8102
Phone
(305) 559-8787
Fax
(844) 798-8918
NPI assigned
Feb 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Authorized official

Name
Francisco G Tudela, MDNPI 1538185707
Title
Owner
Phone
(305) 691-1171

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
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

11760 SW 40TH St Ste 729
Miami, FL 33175-8102

Mailing address

11760 SW 40TH St Ste 729
Miami, FL 33175-8102
Phone (305) 559-8787

Other identifiers 1

IdentifierTypeStateIssuer
058554800MedicaidFL

Other names 1

  • FRANCISCO G TUDELA MD PA Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL HIE Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Francisco G Tudela Jr MD 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.

Locations

11760 SW 40th St
Ste 729
Miami, FL 33175
Phone (305) 559-2779

Practitioners & affiliated clinicians

Practitioners 1

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": "1645488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1841946472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11760 SW 40TH ST STE 729",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331758102",
            "telephone_number": "305-559-8787",
            "fax_number": "844-798-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 SW 40TH ST STE 729",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331758102",
            "telephone_number": "305-559-8787",
            "fax_number": "844-798-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCISCO G TUDELA M.D PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "TUDELA",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-691-1171",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "058554800",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "HIE",
            "affiliation": "N",
            "endpointDescription": "HIE EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIE",
            "address_1": "11760 SW 40th St Ste 729",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331758102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "FRANCISCO G TUDELA MD PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Feb 22, 2022; 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.