Organization Active NPI

Jose a Quimbayo M D P a

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1902936024
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0063746 Issued in FL
Legal business name
JOSE A QUIMBAYO M D P A
Practice address
3201 W Waters Ave Ste a
Tampa, FL 33614-2879
Phone
(813) 915-0055
Fax
(813) 931-1552
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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

Authorized official

Name
Dr. Jose Alfonso Quimbayo, M,D
Title
President
Phone
(813) 915-0055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME0063746 FL Primary

Addresses

Primary practice location

3201 W Waters Ave Ste a
Tampa, FL 33614-2879

Mailing address

3201 W Waters Ave Suite a
Tampa, FL 33614
Phone (813) 915-0055

National Provider Directory

National Provider Directory

Locations

3201 W Waters Ave
Ste A
Tampa, FL 33614
Phone (813) 773-8886

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": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1902936024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 W WATERS AVE SUITE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33614",
            "telephone_number": "813-915-0055",
            "fax_number": "813-931-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 W WATERS AVE STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142879",
            "telephone_number": "813-915-0055",
            "fax_number": "813-931-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE A QUIMBAYO M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "QUIMBAYO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ALFONSO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-915-0055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M,D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0063746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.