Organization Active NPI

Hialeah Medical Associates, Inc.

  • Family Medicine Physician
  • Hialeah Gardens, FL
National Provider Identifier
1104984236
Registry record updated Apr 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HIALEAH MEDICAL ASSOCIATES, INC.
Practice address
8074 NW 103Rd St
Suite 20
Hialeah Gardens, FL 33016-2256
Phone
(305) 826-4307
Fax
(305) 826-6790
NPI assigned
Dec 4, 2006
Last updated
Apr 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2014

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

Authorized official

Name
Heidi Gonzalez
Title
President
Phone
(305) 826-4307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

8074 NW 103Rd St
Suite 20
Hialeah Gardens, FL 33016-2256

Mailing address

8074 NW 103Rd St
Suite 20
Hialeah Gardens, FL 33016-2256
Phone (305) 826-4307

Other identifiers 1

IdentifierTypeStateIssuer
374769700MedicaidFL

National Provider Directory

National Provider Directory

Locations

4505 W Flagler St
Coral Gables, FL 33134
Phone (305) 826-4307

4505 W Flagler St
Ste 20
Coral Gables, FL 33134
Phone (305) 826-4307

8074 NW 103rd St
Ste 20
Hialeah Gardens, FL 33016
Phone (305) 826-4037

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397260800000",
    "number": "1104984236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8074 NW 103RD ST",
            "address_2": "SUITE 20",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330162256",
            "telephone_number": "305-826-4307",
            "fax_number": "305-826-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8074 NW 103RD ST",
            "address_2": "SUITE 20",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330162256",
            "telephone_number": "305-826-4307",
            "fax_number": "305-826-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIALEAH MEDICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2014-04-12",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-826-4307"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374769700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2014; 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.