Organization Active NPI

Handal Saca Pediatrics M.D. P.a.

  • Pediatrics Physician
  • Hialeah, FL
National Provider Identifier
1124194311
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME-0072355 Issued in FL
Legal business name
HANDAL SACA PEDIATRICS M.D. P.A.
Practice address
4410 W 16TH Ave
Suite # 60
Hialeah, FL 33012-7194
Phone
(305) 823-0721
Fax
(305) 823-2041
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2011

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

Authorized official

Name
Dr. Carlos A Handal Saca, MD
Title
Medical Doctor Owner
Phone
(305) 823-0721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X ME-0072355 FL Primary

Addresses

Primary practice location

4410 W 16TH Ave
Suite # 60
Hialeah, FL 33012-7194

Mailing address

4410 W 16TH Ave
Suite # 60
Hialeah, FL 33012-7194
Phone (305) 823-0721

Other identifiers 1

IdentifierTypeStateIssuer
259672500MedicaidFL

National Provider Directory

National Provider Directory

Locations

4410 W 16th Ave
Ste 60
Hialeah, FL 33012
Phone (305) 823-0721

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300233600000",
    "number": "1124194311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 W 16TH AVE",
            "address_2": "SUITE # 60",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127194",
            "telephone_number": "305-823-0721",
            "fax_number": "305-823-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 W 16TH AVE",
            "address_2": "SUITE # 60",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127194",
            "telephone_number": "305-823-0721",
            "fax_number": "305-823-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANDAL SACA PEDIATRICS M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2011-03-16",
        "status": "A",
        "authorized_official_last_name": "HANDAL SACA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DOCTOR OWNER",
        "authorized_official_telephone_number": "305-823-0721",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME-0072355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259672500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.