Provider Demographics
NPI:1932210085
Name:DEPARTMENT VETERAN AFFAIRS
Entity Type:Organization
Organization Name:DEPARTMENT VETERAN AFFAIRS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:R
Authorized Official - Last Name:NAPOLES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-575-7000
Mailing Address - Street 1:620 NIGHTINGALE AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-3945
Mailing Address - Country:US
Mailing Address - Phone:305-888-0583
Mailing Address - Fax:
Practice Address - Street 1:620 NIGHTINGALE AVE
Practice Address - Street 2:
Practice Address - City:MIAMI SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33166-3945
Practice Address - Country:US
Practice Address - Phone:305-888-0583
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL18300282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital