Eugenio E Fiallos MD PA

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

ME36054 Issued in FL

Legal business name

EUGENIO E FIALLOS MD PA

Practice address

12451 SW 21St LN
Miami, FL 33175-7708

Phone

(305) 559-2173

NPI assigned

Jan 23, 2012

Last updated

Jan 23, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eugenio E Fiallos, M.D.NPI 1245379577

Title

President

Phone

(305) 559-2173

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eugenio E Fiallos

  • Vascular Surgery Physician
  • Miami, FL
  • NPI 1245379577
  Authorized official Same address or phone

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327276800000",
    "number": "1912278946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12451 SW 21ST LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331757708",
            "telephone_number": "305-559-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12451 SW 21ST LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331757708",
            "telephone_number": "305-559-2173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENIO E FIALLOS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-23",
        "last_updated": "2012-01-23",
        "status": "A",
        "authorized_official_last_name": "FIALLOS",
        "authorized_official_first_name": "EUGENIO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-559-2173",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME36054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1245379577",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aris Eugene
• Brunel Eugene
• Karina Maricia Eugene
• Kayla Clelie Eugene
• Pierre B. Eugene, M.D.
• Eugenio Moises Guevara MD PA
• Euleslie Medical Center Inc
• Eulogias Diagnostic Medical Center Inc
• Eunice Perez DDS PA (Unidental center)
• Euphoric Healing, LLC

• Vascular Surgery Physician in Miami, FL
• Providers in Miami, FL by specialty
• Vascular Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; 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.