Healthcare Provider Details

I. General information

NPI: 1144465824
Provider Name (Legal Business Name): J. BRAHMATEWARI M.D.P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2008
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6301 BISCAYNE BLVD SUITE 200
MIAMI FL
33138-6284
US

IV. Provider business mailing address

PO BOX 226411
MIAMI FL
33222-6411
US

V. Phone/Fax

Practice location:
  • Phone: 305-751-7771
  • Fax: 305-756-0270
Mailing address:
  • Phone: 305-751-7771
  • Fax: 305-756-0270

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. BARBARA RODRIGUEZ
Title or Position: OFFICE ADMINISTRATOR
Credential:
Phone: 305-751-7771