Palm Springs Pediatrics PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PALM SPRINGS PEDIATRICS PA

Practice address

17901 NW 5TH St
Suite 103
Pembroke Pines, FL 33029-2810

Phone

(954) 442-8888

Fax

(954) 442-8661

NPI assigned

Jan 13, 2009

Organization subpart

No

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

Authorized official

Name

Ausberto B Hidalgo, MD

Title

Owner

Phone

(954) 442-8888

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312243200000",
    "number": "1063659050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17901 NW 5TH ST",
            "address_2": "SUITE 103",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292810",
            "telephone_number": "954-442-8888",
            "fax_number": "954-442-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17901 NW 5TH ST",
            "address_2": "SUITE 103",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292810",
            "telephone_number": "954-442-8888",
            "fax_number": "954-442-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM SPRINGS PEDIATRICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-13",
        "last_updated": "2011-08-02",
        "status": "A",
        "authorized_official_last_name": "HIDALGO",
        "authorized_official_first_name": "AUSBERTO",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-442-8888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrianna Palestina, SLP
• Palisades Dialysis LLC
• Palm Chiropractic Center, Inc.
• Palm Springs Medical Services Inc
• Palm Springs Pediatric Associates of Florida LLC
• Roderick John Yulo Palma
• Danielle Alicia Palmer-Raoul, NP
• Dean Palmer, M.D.
• Emily Claire Palmer, APRN, AGPCNP-BC
• Jermaine Dewayne Palmer, APRN

• Pediatrics Physician in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; 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.