1548051659 NPI number — DR. JOSE VICTOR DA NOBREGA BORGES M.D.

Table of content: DR. JOSE VICTOR DA NOBREGA BORGES M.D. (NPI 1548051659)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548051659 NPI number — DR. JOSE VICTOR DA NOBREGA BORGES M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BORGES
Provider First Name:
JOSE VICTOR
Provider Middle Name:
DA NOBREGA
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1548051659
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/16/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8900 N KENDALL DR
Provider Second Line Business Mailing Address:
BAPTIST HOSPITAL OF MIAMI-OFFICE OF GRADUATE MEDICAL E
Provider Business Mailing Address City Name:
MIAMI
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33176
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
561-281-1702
Provider Business Mailing Address Fax Number:
561-281-1702

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8900 N KENDALL DR
Provider Second Line Business Practice Location Address:
BAPTIST HOSPITAL OF MIAMI-OFFICE OF GRADUATE MEDICAL E
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33176
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
561-281-1702
Provider Business Practice Location Address Fax Number:
561-281-1702
Provider Enumeration Date:
05/16/2025

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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