Active NPI
Efrem Gubieda, MD
- Pediatrics Physician
- Coral Gables, FL
National Provider Identifier
1891705158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME0069489
- Practice address
- 4141 SW 6TH St
Coral Gables, FL 33134-2057 - Phone
- (305) 442-1740
- Fax
- (305) 442-2207
- NPI assigned
- Aug 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME0069489 | FL | Primary |
Addresses
Primary practice location
4141 SW 6TH St
Coral Gables, FL 33134-2057
Mailing address
4141 SW 6TH St
Coral Gables, FL 33134-2057
Phone (305) 442-1740
Other practice location 1
4305 E 8th Ave Ste E
Hialeah, FL 33013-2465
Phone (305) 769-5601
Other practice location 2
5590 W 20th Ave Ste 100
Hialeah, FL 33016-7061
Phone (305) 828-4696
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0379244700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0069489 | FL | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576022400000",
"number": "1891705158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4141 SW 6TH ST",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331342057",
"telephone_number": "305-442-1740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4141 SW 6TH ST",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331342057",
"telephone_number": "305-442-1740",
"fax_number": "305-442-2207"
}
],
"practiceLocations": [
{
"address_1": "4305 E 8th Ave Ste E",
"address_purpose": "LOCATION",
"city": "Hialeah",
"state": "FL",
"postal_code": "330132465",
"country_code": "US",
"telephone_number": "305-769-5601",
"fax_number": "305-769-0473",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5590 W 20th Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Hialeah",
"state": "FL",
"postal_code": "330167061",
"country_code": "US",
"telephone_number": "305-828-4696",
"fax_number": "305-828-4696",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUBIEDA",
"first_name": "EFREM",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2019-12-11",
"certification_date": "2019-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME0069489",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0379244700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.