Organization Active NPI

Felipe Antonio del Valle MD PA

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1922141852
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME50226 Issued in FL
Legal business name
FELIPE ANTONIO DEL VALLE MD PA
Practice address
2350 SW 84TH Ave
Miami, FL 33155-1160
Phone
(786) 263-0527
Fax
(786) 263-0529
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Authorized official

Name
Dr. Felipe Antonio Del Valle, M.D.NPI 1174508717
Title
Owner
Phone
(786) 263-0527

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME50226 FL Primary

Addresses

Primary practice location

2350 SW 84TH Ave
Miami, FL 33155-1160

Mailing address

2350 SW 84TH Ave
Miami, FL 33155-1160
Phone (786) 263-0527

Other identifiers 1

IdentifierTypeStateIssuer
061432700MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080813000566 FL Part B Supplier - Clinic/Group Practice 3173698990 Receives reassigned benefits from 3 practitioners
Practice locations: Miami, FL; South Miami, FL

National Provider Directory

National Provider Directory
Tax ID family
Felipe Antonio del Valle MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7190 SW 87th Ave
Ste 203
Miami, FL 33173
Phone (786) 263-0527

2350 SW 84th Ave
Miami, FL 33155
Phone (305) 269-2550

Practitioners & affiliated clinicians

Practitioners 3

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": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646179200000",
    "number": "1922141852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 SW 84TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551160",
            "telephone_number": "786-263-0527",
            "fax_number": "786-263-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 SW 84TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551160",
            "telephone_number": "786-263-0527",
            "fax_number": "786-263-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELIPE ANTONIO DEL VALLE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A",
        "authorized_official_last_name": "DEL VALLE",
        "authorized_official_first_name": "FELIPE",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-263-0527",
        "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": "ME50226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061432700",
            "state": "FL"
        }
    ],
    "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 Mar 2, 2022; 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.