Provider Demographics
NPI:1093760118
Name:ALMUNIA, MIGUEL TOMAS (MD)
Entity Type:Individual
Prefix:MR
First Name:MIGUEL
Middle Name:TOMAS
Last Name:ALMUNIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11880 SW BIRD RD
Mailing Address - Street 2:SUITE 219
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175
Mailing Address - Country:US
Mailing Address - Phone:305-221-9921
Mailing Address - Fax:
Practice Address - Street 1:11880 SW BIRD RD
Practice Address - Street 2:SUITE 219
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175
Practice Address - Country:US
Practice Address - Phone:305-221-9921
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME511382084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL048175100Medicaid
FL07078OtherBCBS
FL592825841OtherTAX ID
FLME51138OtherMEDICAL LIC NUMBER
FL07078ZMedicare ID - Type Unspecified
FL048175100Medicaid
FL07078OtherBCBS