Healthcare Provider Details

I. General information

NPI: 1356427231
Provider Name (Legal Business Name): JOSE R NAPOLES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 N.W. 16 STREET
MIAMI FL
33125
US

IV. Provider business mailing address

620 NIGHTINGALE AVE
MIAMI SPRINGS FL
33166-3945
US

V. Phone/Fax

Practice location:
  • Phone: 305-575-7000
  • Fax: 305-575-3385
Mailing address:
  • Phone: 305-888-3742
  • Fax: 305-385-2164

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number18300
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: