Organization Active NPI

JDH Medical Group, LLC

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1053718106
Registry record updated Dec 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JDH MEDICAL GROUP, LLC
Practice address
12002 SW 128TH CT Ste 210
Miami, FL 33186-4643
Phone
(305) 961-1671
NPI assigned
Dec 4, 2014
Last updated
Dec 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2014

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

Authorized official

Name
Dr. Joaquin Hechavarria, PHD, M.D. (F)
Title
President
Phone
(305) 961-1671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

12002 SW 128TH CT Ste 210
Miami, FL 33186-4643

Mailing address

12002 SW 128TH CT Ste 210
Miami, FL 33186-4643
Phone (305) 961-1671

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417651200000",
    "number": "1053718106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12002 SW 128TH CT STE 210",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864643",
            "telephone_number": "305-961-1671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12002 SW 128TH CT STE 210",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864643",
            "telephone_number": "305-961-1671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JDH MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-04",
        "last_updated": "2014-12-04",
        "status": "A",
        "authorized_official_last_name": "HECHAVARRIA",
        "authorized_official_first_name": "JOAQUIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-961-1671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, M.D. (F)"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; 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.