Organization Active NPI

J.C.Machado, Jr.M.D.,P.a.

  • Psychiatry Physician
  • Coral Gables, FL
National Provider Identifier
1982984175
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME0056588 Issued in FL
Legal business name
J.C.MACHADO, JR.M.D.,P.A.
Practice address
4800 Riviera Dr
Coral Gables, FL 33146-1737
Phone
(305) 450-2774
Fax
(877) 403-3837
NPI assigned
Aug 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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

Authorized official

Name
Dr. Julio C Machado Jr., M.D.
Title
PD
Phone
(305) 450-2774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X ME0056588 FL Primary

Addresses

Primary practice location

4800 Riviera Dr
Coral Gables, FL 33146-1737

Mailing address

4800 Riviera Dr
Coral Gables, FL 33146-1737
Phone (305) 450-2774

Other identifiers 1

IdentifierTypeStateIssuer
051907300MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1982984175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 RIVIERA DR",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331461737",
            "telephone_number": "305-450-2774",
            "fax_number": "877-403-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 RIVIERA DR",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331461737",
            "telephone_number": "305-450-2774",
            "fax_number": "877-403-3837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.C.MACHADO, JR.M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-19",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "MACHADO",
        "authorized_official_first_name": "JULIO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PD",
        "authorized_official_telephone_number": "305-450-2774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0056588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051907300",
            "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 Aug 19, 2011; 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.