Organization Active NPI

MCH Pediatric Cardiology, LLC

  • Pediatric Cardiology Physician
  • Loxahatchee, FL
National Provider Identifier
1083927537
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.