Active NPI
MCH Pediatric Cardiology, LLC
- Pediatric Cardiology Physician
- Loxahatchee, FL
National Provider Identifier
1083927537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- Legal business name
- MCH PEDIATRIC CARDIOLOGY, LLC
- Practice address
- 12989 Southern Boulevard Palms West
Mob III Suite 203
Loxahatchee, FL 33470 - Phone
- (561) 383-7113
- NPI assigned
- Jul 26, 2010
- Last updated
- Jul 26, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pedro Alfaro
- Title
- Senior VP & Cfo
- Phone
- (305) 666-6511
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | NU | Primary |
Addresses
Primary practice location
12989 Southern Boulevard Palms West
Mob III Suite 203
Loxahatchee, FL 33470
Mailing address
PO Box 557367
Miami, FL 33255-7367
Phone (786) 624-5845
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280102400000",
"number": "1083927537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 557367",
"city": "MIAMI",
"state": "FL",
"postal_code": "332557367",
"telephone_number": "786-624-5845",
"fax_number": "786-624-2688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12989 SOUTHERN BOULEVARD PALMS WEST",
"address_2": "MOB III SUITE 203",
"city": "LOXAHATCHEE",
"state": "FL",
"postal_code": "33470",
"telephone_number": "561-383-7113"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCH PEDIATRIC CARDIOLOGY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-26",
"last_updated": "2010-07-26",
"status": "A",
"authorized_official_last_name": "ALFARO",
"authorized_official_first_name": "PEDRO",
"authorized_official_title_or_position": "SENIOR VP & CFO",
"authorized_official_telephone_number": "305-666-6511"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loxahatchee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.