NPIMap

Organization Active NPI

Palm Primary Care, LLC

  • General Practice Physician
  • Hialeah, FL
National Provider Identifier
1063841740
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PALM PRIMARY CARE, LLC
Practice address
705 East Le Jeune Road
2ND Floor
Hialeah, FL 33010
Phone
(914) 720-3686
NPI assigned
Nov 4, 2013
Last updated
Nov 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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

Authorized official

Name
Mario Albert Malvehy, M.D.
Title
Medical Director
Phone
(914) 720-3686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

705 East Le Jeune Road
2ND Floor
Hialeah, FL 33010

Mailing address

705 East Le Jeune Road
2ND Floor
Hialeah, FL 33010

National Provider Directory

National Provider Directory

Locations

755 Le Jeune Rd
Hialeah, FL 33010
Phone (305) 456-5329

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383523200000",
    "number": "1063841740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 EAST LE JEUNE ROAD",
            "address_2": "2ND FLOOR",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 EAST LE JEUNE ROAD",
            "address_2": "2ND FLOOR",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33010",
            "telephone_number": "914-720-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A",
        "authorized_official_last_name": "MALVEHY",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "914-720-3686",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "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 Nov 4, 2013; 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.