Organization Active NPI

Family Physicians Associates Inc

  • Family Medicine Physician
  • Miami Beach, FL
National Provider Identifier
1902125545
Registry record updated Oct 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME104648 Issued in FL
Legal business name
FAMILY PHYSICIANS ASSOCIATES INC
Practice address
5757 Collins Ave
Apt 1002
Miami Beach, FL 33140-2300
Phone
(305) 903-7646
Fax
(305) 503-6903
NPI assigned
May 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2011

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

Authorized official

Name
Miss Livia Coral Gadea, MDNPI 1639397557
Title
President
Phone
(786) 464-9261

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME104648 FL Primary

Addresses

Primary practice location

5757 Collins Ave
Apt 1002
Miami Beach, FL 33140-2300

Mailing address

4308 Alton Rd
Suite 420
Miami, FL 33140
Phone (786) 464-9261

Other identifiers 1

IdentifierTypeStateIssuer
104648OtherFLME LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101006000450 FL Part B Supplier - Clinic/Group Practice 6709078983 Receives reassigned benefits from 1 practitioner
Practice locations: Miami Beach, FL

National Provider Directory

National Provider Directory

Locations

4308 Alton Rd
Ste 210
Miami Beach, FL 33140
Phone (305) 673-2221

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": "1274400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318636800000",
    "number": "1902125545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 ALTON RD",
            "address_2": "SUITE 420",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33140",
            "telephone_number": "786-464-9261",
            "fax_number": "305-503-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 COLLINS AVE",
            "address_2": "APT 1002",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402300",
            "telephone_number": "305-903-7646",
            "fax_number": "305-503-6903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHYSICIANS ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-21",
        "last_updated": "2011-10-15",
        "status": "A",
        "authorized_official_last_name": "GADEA",
        "authorized_official_first_name": "LIVIA",
        "authorized_official_middle_name": "CORAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-464-9261",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME104648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ME LICENSE",
            "identifier": "104648",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.