NPIMap

Organization Active NPI

Miami Children's Hospital

  • Case Management Agency
  • Palmetto Bay, FL
National Provider Identifier
1104072602
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MIAMI CHILDREN'S HOSPITAL
Practice address
17615 SW 97TH Ave
Palmetto Bay, FL 33157-5636
Phone
(786) 268-2611
Fax
(786) 268-1748
NPI assigned
Aug 15, 2008
Last updated
Feb 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2011

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

Authorized official

Name
Mr. Pedro Alfaro
Title
Cfo
Phone
(305) 666-6511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

17615 SW 97TH Ave
Palmetto Bay, FL 33157-5636

Mailing address

17615 SW 97TH Ave
Palmetto Bay, FL 33157-5636
Phone (786) 268-2611

Other identifiers 1

IdentifierTypeStateIssuer
910195100MedicaidFL

Other names 1

  • Variety Children's Hospital Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Variety Children's Hospital Inc32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

Organizations that report the same tax identification number in the National Provider Directory.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298505600000",
    "number": "1104072602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17615 SW 97TH AVE",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331575636",
            "telephone_number": "786-268-2611",
            "fax_number": "786-268-1748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17615 SW 97TH AVE",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331575636",
            "telephone_number": "786-268-2611",
            "fax_number": "786-268-1748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI CHILDREN'S HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-15",
        "last_updated": "2011-02-24",
        "status": "A",
        "authorized_official_last_name": "ALFARO",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "305-666-6511",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "910195100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Variety Children's Hospital",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Palmetto Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.