Individual provider Active NPI

Eugenio M Rothe, MD

  • Child & Adolescent Psychiatry Physician
  • Coral Gables, FL
National Provider Identifier
1962419887
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
ME46252 Issued in FL
Practice address
2199 Ponce de Leon Blvd
Suite 304
Coral Gables, FL 33134-5232
Phone
(305) 774-1699
Fax
(305) 774-1674
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X ME46252 FL Primary

Addresses

Primary practice location

2199 Ponce de Leon Blvd
Suite 304
Coral Gables, FL 33134-5232

Mailing address

2199 Ponce de Leon Blvd
Suite 304
Coral Gables, FL 33134-5232
Phone (305) 774-1699

Other identifiers 1

IdentifierTypeStateIssuer
0641812-00MedicaidFL

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME46252FLMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212364800000",
    "number": "1962419887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2199 PONCE DE LEON BLVD",
            "address_2": "SUITE 304",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345232",
            "telephone_number": "305-774-1699",
            "fax_number": "305-774-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2199 PONCE DE LEON BLVD",
            "address_2": "SUITE 304",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345232",
            "telephone_number": "305-774-1699",
            "fax_number": "305-774-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHE",
        "first_name": "EUGENIO",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2008-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME46252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0641812-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.