Organization Active NPI

Victoria E Haydar MD PA

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1093843567
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0045809 Issued in FL
Legal business name
VICTORIA E HAYDAR MD PA
Practice address
10251 SW 72ND St Ste 102
Miami, FL 33173-2957
Phone
(305) 279-1975
Fax
(305) 274-9263
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Victoria E HaydarNPI 1538340237
Title
MD
Phone
(305) 251-3991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME0045809 FL Primary

Addresses

Primary practice location

10251 SW 72ND St Ste 102
Miami, FL 33173-2957

Mailing address

10251 SW 72ND St Ste 102
Miami, FL 33173-2957
Phone (305) 279-1975

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080913000012 FL Part B Supplier - Clinic/Group Practice 2264508381 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1093843567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10251 SW 72ND ST STE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331732957",
            "telephone_number": "305-279-1975",
            "fax_number": "305-274-9263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10251 SW 72ND ST STE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331732957",
            "telephone_number": "305-279-1975",
            "fax_number": "305-274-9263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA E HAYDAR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "HAYDAR",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "305-251-3991"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0045809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.