Provider Demographics
NPI:1851305353
Name:IGLESIAS, TOMAS J (MD)
Entity Type:Individual
Prefix:
First Name:TOMAS
Middle Name:J
Last Name:IGLESIAS
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 1:1800 SW 27TH AVE STE 604
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145-2400
Mailing Address - Country:US
Mailing Address - Phone:305-446-0566
Mailing Address - Fax:305-446-0766
Practice Address - Street 1:1800 SW 27TH AVE STE 604
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-2400
Practice Address - Country:US
Practice Address - Phone:305-446-0566
Practice Address - Fax:305-446-0766
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0017087207R00000X, 207RR0500X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL051296600Medicaid
FL051296600Medicaid
D27494Medicare UPIN