Individual provider Active NPI

Antonio Eugenio Tauler, MD

  • Psychiatry Physician
  • Coral Gables, FL
National Provider Identifier
1851342844
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME 65292 Issued in FL
Practice address
3850 W Flagler St
Coral Gables, FL 33134-1604
Phone
(305) 774-3334
Fax
(305) 475-2650
NPI assigned
May 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME 65292 FL Primary

Addresses

Primary practice location

3850 W Flagler St
Coral Gables, FL 33134-1604

Mailing address

6100 Blue Lagoon Dr
Suite 400
Miami, FL 33126-2079
Phone (305) 398-6102

Other identifiers 1

IdentifierTypeStateIssuer
252842800MedicaidFL

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
I20110726000562 FL Practitioner - Psychiatry 5092983668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A and S Wellness Center LLCGroup PAC ID 5597150037, 11 clinicians

Practice addresses (Care Compare)

1840 W 49TH St
Suite 606
Hialeah, FL 33012-2962
Phone (305) 846-9727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 65292FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banyan Community Health Center, Inc. CurrentSince Feb 18, 2014 Accepting new patients
Banyan Community Health Center, Inc. Current Accepting new patients
Banyan Community Health Center, Inc. Past Accepting new patients
Banyan Community Health Center, Inc. PastSince Aug 1, 2021 Accepting new patients

Locations

3800 W Flagler St
Coral Gables, FL 33134
Phone (305) 774-3300

3850 W Flagler St
Coral Gables, FL 33134
Phone (305) 774-3300

10720 Caribbean Blvd
Ste 420
Cutler Bay, FL 33189
Phone (786) 293-9544

2300 NW 89th Pl
Fl 3
Doral, FL 33172

4900 W Oakland Park Blvd
Fl 3
Lauderdale Lakes, FL 33313
Phone (954) 327-4060

6100 Blue Lagoon Dr
Ste 400
Miami, FL 33126

Organizations & group practices 5

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": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1851342844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 BLUE LAGOON DR",
            "address_2": "SUITE 400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262079",
            "telephone_number": "305-398-6102",
            "fax_number": "305-757-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 W FLAGLER ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341604",
            "telephone_number": "305-774-3334",
            "fax_number": "305-475-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAULER",
        "first_name": "ANTONIO",
        "middle_name": "EUGENIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME 65292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252842800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.