Organization Active NPI

Ledesma General Practice Inc

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1881773182
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LEDESMA GENERAL PRACTICE INC
Practice address
300 SW 107TH Ave
Unit 213
Miami, FL 33174-3600
Phone
(305) 225-7033
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Isabel D Buergos
Title
President
Phone
(305) 225-7033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

300 SW 107TH Ave
Unit 213
Miami, FL 33174-3600

Mailing address

300 SW 107TH Ave
Unit 213
Miami, FL 33174-3600
Phone (305) 225-7033

National Provider Directory

National Provider Directory

Locations

300 SW 107th Ave
Ste 213
Miami, FL 33174
Phone (305) 225-0344

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881773182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SW 107TH AVE",
            "address_2": "UNIT 213",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331743600",
            "telephone_number": "305-225-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SW 107TH AVE",
            "address_2": "UNIT 213",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331743600",
            "telephone_number": "305-225-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEDESMA GENERAL PRACTICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUERGOS",
        "authorized_official_first_name": "ISABEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-225-7033"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.