Unknown Individual – Medical Physician Assistant, NPI 1639264591

Unknown Individual is a healthcare provider. based in Coral gables, Florida. specializing in Medical Physician Assistant. They hold a License No. PA9100041 (FL). The NPI Number for Unknown Individual is 1639264591

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1639264591
Phone
(305) 251-3991
Address
4800 W FLAGLER ST
Deactivation Date
16 November 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Best Western Premier Miami International Airport Hotel & Suites Coral Gables, 4100, West Flagler Street, Miami, Miami-Dade County, Florida, 33134, United States

    SUITE 6

    CORAL GABLES, FL 331341446

    Phone: (305) 251-3991

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33134)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1639264591 if you need a stable reference for Unknown Individual.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Medical Physician Assistant for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Coral Gables, Florida for Unknown Individual; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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