Organization Active NPI

Jose F Baca MD Inc

  • Internal Medicine Physician
  • Hialeah, FL
National Provider Identifier
1073817052
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME57517 Issued in FL
Legal business name
JOSE F BACA MD INC
Practice address
777 E 25TH St Ste 509
Hialeah, FL 33013-3834
Phone
(305) 696-7557
Fax
(305) 696-7469
NPI assigned
Jan 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Authorized official

Name
Dr. Jose F Baca, M.D.
Title
Director
Phone
(305) 696-7557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME57517 FL Primary

Addresses

Primary practice location

777 E 25TH St Ste 509
Hialeah, FL 33013-3834

Mailing address

777 E 25TH St Ste 509
Hialeah, FL 33013-3834
Phone (305) 696-7557

Other identifiers 1

IdentifierTypeStateIssuer
371253200MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1073817052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 E 25TH ST STE 509",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133834",
            "telephone_number": "305-696-7557",
            "fax_number": "305-696-7469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E 25TH ST STE 509",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133834",
            "telephone_number": "305-696-7557",
            "fax_number": "305-696-7469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE F BACA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-05",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "BACA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "305-696-7557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME57517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371253200",
            "state": "FL"
        }
    ],
    "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 Jan 5, 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.