Mirta Caminero Tejedor MD PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME 56828 Issued in FL

Legal business name

MIRTA CAMINERO TEJEDOR MD PA

Practice address

10651 SW 88TH St
Suite 101
Miami, FL 33176-1569

Phone

(305) 412-6222

Fax

(305) 412-8333

NPI assigned

Jul 15, 2008

Organization subpart

No

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

Authorized official

Name

Mirta Caminero -Tejedor, MD

Title

Owner

Phone

(305) 412-6222

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mirta Del V Caminero Tejedor, MD

  • Specialist
  • Miami, FL
  • NPI 1942239231
  Medicare reassignment NPD

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1992969273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10651 SW 88TH ST",
            "address_2": "SUITE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761569",
            "telephone_number": "305-412-6222",
            "fax_number": "305-412-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10651 SW 88TH ST",
            "address_2": "SUITE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761569",
            "telephone_number": "305-412-6222",
            "fax_number": "305-412-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRTA CAMINERO TEJEDOR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "CAMINERO -TEJEDOR",
        "authorized_official_first_name": "MIRTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-412-6222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME 56828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAL LICENSE",
            "identifier": "ME56828",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paola Miro
• Natalia Alexandrovna Mironova
• Bari Morgan Mirotznik
• Tarun Mohan Mirpuri, M.D.
• Nicholas Alexander Mirsky, MD
• Mirta Hernandez, DPM PA
• Mirta Matos PSYD PA
• Nadia Saeed Mirza, PA-C
• Yasamin Mirzabeigi, MD
• Mis Abuelitos Adult Day Care Corp.

• Dermatology Physician in Miami, FL
• Providers in Miami, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.