Provider Demographics
NPI:1669476107
Name:ALLEYN, JAMES N (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:N
Last Name:ALLEYN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5000 UNIVERSITY DR STE 3000
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-2008
Mailing Address - Country:US
Mailing Address - Phone:305-663-7001
Mailing Address - Fax:305-663-7004
Practice Address - Street 1:3661 S MIAMI AVE
Practice Address - Street 2:SUITE 308
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-4236
Practice Address - Country:US
Practice Address - Phone:305-596-9480
Practice Address - Fax:305-596-9410
Is Sole Proprietor?:No
Enumeration Date:2005-06-13
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0021204207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL035610700Medicaid
FLD63511OtherVISTA PROVIDER NUMBER
FL000021064-WOtherHUMANA PROVIDER NUMBER
FL1708903-006OtherCIGNA PROVIDER NUMBER
FL115OtherTOTAL HLTH. CHOICE PRV. #
FL95558OtherBCBS PROVIDER NUMBER
FL261490OtherAVMED THRU PARITY PROV. #
FL1068867OtherFIRST HEALTH PROVIDER #
FL136574OtherUSA MNGD. CR. PROVIDER #
FL4260319OtherAETNA PROVIDER NUMBER
FL59 2485899033OtherTRICARE SOUTH HMHS PROV.#
FL9664748OtherGHI PROVIDER NUMBER
FL035610700Medicaid
FLD63511Medicare UPIN