Organization Active NPI

Gloria Mendizabal Piedra MD

  • Internal Medicine Physician
  • Hialeah, FL
National Provider Identifier
1023409083
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME57754 Issued in FL
Legal business name
GLORIA MENDIZABAL PIEDRA MD
Practice address
3986 W 16TH Ave
Hialeah, FL 33012-7000
Phone
(305) 823-2433
Fax
(305) 823-1727
NPI assigned
Feb 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Gloria Mendizabal Piedra, M.D
Title
Owner
Phone
(305) 823-2433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME57754 FL Primary

Addresses

Primary practice location

3986 W 16TH Ave
Hialeah, FL 33012-7000

Mailing address

3986 W 16TH Ave
Hialeah, FL 33012-7000
Phone (305) 823-2433

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1023409083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3986 W 16TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127000",
            "telephone_number": "305-823-2433",
            "fax_number": "305-823-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3986 W 16TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127000",
            "telephone_number": "305-823-2433",
            "fax_number": "305-823-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORIA MENDIZABAL PIEDRA MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "PIEDRA",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "MENDIZABAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-823-2433",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME57754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.