Active NPI
Cristina B Mata
- Endocrinology, Diabetes & Metabolism Physician
- Miami, FL
National Provider Identifier
1952311490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- ME51321
- Practice address
- 3801 Biscayne Blvd
Ste 230
Miami, FL 33137-9800 - Phone
- (786) 466-8490
- NPI assigned
- Aug 8, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | ME51321 | FL | Primary |
Addresses
Primary practice location
3801 Biscayne Blvd
Ste 230
Miami, FL 33137-9800
Mailing address
1500 NW 12TH Ave
Suite 810
Miami, FL 33136-1051
Phone (305) 585-6649
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 055816800 | 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 |
|---|---|---|---|
| ME51321 | FL | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holy Cross Hospital Inc | Endocrinology, Diabetes & Metabolism | Past | Accepting new patients |
| Public Health Trust of Miami Dade County Florida | Past | Accepting new patients | |
| Public Health Trust of Miami Dade County Florida | Past | Accepting new patients | |
| Public Health Trust of Dade County Florida | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Holy Cross Medical Group
- Internal Medicine Physician
- Fort Lauderdale, FL
- NPI 1467401877
Endocrinology, Diabetes & Metabolism
-
dba JMG Specialty Physicians
- Family Medicine Physician
- Miami, FL
- NPI 1902978695
-
dba JMG Specialty Physicians
- General Practice Physician
- Miami, FL
- NPI 1134384423
-
dba JMG Specialty Physicians
- Family Medicine Physician
- Plantation, FL
- NPI 1245121425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412121600000",
"number": "1952311490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 NW 12TH AVE",
"address_2": "SUITE 810",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361051",
"telephone_number": "305-585-6649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 BISCAYNE BLVD",
"address_2": "STE 230",
"city": "MIAMI",
"state": "FL",
"postal_code": "331379800",
"telephone_number": "786-466-8490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATA",
"first_name": "CRISTINA",
"middle_name": "B",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-08",
"last_updated": "2014-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "FL",
"license": "ME51321",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "055816800",
"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 Oct 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.