Individual provider Active NPI

Joseph Raul Triana, MD

  • Obstetrics & Gynecology Physician
  • Miami, FL
National Provider Identifier
1962443036
Registry record updated Jul 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME86888 Issued in FL
Practice address
3661 S Miami Ave
Suite704
Miami, FL 33133-4236
Phone
(305) 854-8112
Fax
(305) 854-1633
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME86888 FL Primary

Addresses

Primary practice location

3661 S Miami Ave
Suite704
Miami, FL 33133-4236

Mailing address

3661 S Miami Ave
Suite 704
Miami, FL 33133-4236
Phone (305) 854-8112

Other identifiers 1

IdentifierTypeStateIssuer
266854800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040720000813 FL Practitioner - Obstetrics/Gynecology 4587643770 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME86888FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC Obstetrics & Gynecology CurrentSince Aug 1, 2009 Accepting new patients
Holy Cross Hospital Inc Obstetrics & Gynecology Past Accepting new patients
C & M Medical Services, Inc. Past Accepting new patients

Locations

3785 NW 82nd Ave
Ste 307
Doral, FL 33166
Phone (305) 266-2949

10305 NW 58th St
Ste 501
Doral, FL 33178
Phone (786) 953-7651

1309 S Federal Hwy
#G
Ft Lauderdale, FL 33316
Phone (954) 463-4383

3661 S Miami Ave
Ste 505
Miami, FL 33133
Phone (305) 854-8112

3661 S Miami Ave
Ste 704
Miami, FL 33133
Phone (305) 854-8112

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

Organizations & group practices 3

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248739200000",
    "number": "1962443036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3661 S MIAMI AVE",
            "address_2": "SUITE 704",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334236",
            "telephone_number": "305-854-8112",
            "fax_number": "305-854-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 S MIAMI AVE",
            "address_2": "SUITE704",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334236",
            "telephone_number": "305-854-8112",
            "fax_number": "305-854-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIANA",
        "first_name": "JOSEPH",
        "middle_name": "RAUL",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2009-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME86888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266854800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.