Organization Active NPI

Hospitalist of South Slorida Inc

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1952449654
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
591266 3 Issued in FL
Legal business name
HOSPITALIST OF SOUTH SLORIDA INC
Practice address
11760 SW 40TH St Ste 112
Miami, FL 33175-3589
Phone
(305) 485-7979
Fax
(305) 485-3533
NPI assigned
Feb 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Tomas Villanueva, D.O.
Title
C.E.O
Phone
(305) 485-7979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 591266 3 FL Primary

Addresses

Primary practice location

11760 SW 40TH St Ste 112
Miami, FL 33175-3589

Mailing address

11760 SW 40TH St Ste 112
Miami, FL 33175-3589
Phone (305) 485-7979

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952449654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11760 SW 40TH ST STE 112",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753589",
            "telephone_number": "305-485-7979",
            "fax_number": "305-485-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 SW 40TH ST STE 112",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753589",
            "telephone_number": "305-485-7979",
            "fax_number": "305-485-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITALIST OF SOUTH SLORIDA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA",
        "authorized_official_first_name": "TOMAS",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "305-485-7979",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "591266 3",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.