NPIMap

Organization Active NPI

Nicklaus Children's Hospital

  • Student in an Organized Health Care Education/Training Program
  • Doral, FL
National Provider Identifier
1205648102
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Legal business name
NICKLAUS CHILDREN'S HOSPITAL
Practice address
3601 NW 107TH Ave FL 3
Doral, FL 33178-4377
Phone
(305) 418-7771
NPI assigned
Jan 27, 2025
Last updated
Jan 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Oscar Arevalo
Title
Postdoctoral Program Director
Phone
(305) 418-7771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU Primary

Addresses

Primary practice location

3601 NW 107TH Ave FL 3
Doral, FL 33178-4377

Mailing address

3601 NW 107TH Ave FL 3
Doral, FL 33178-4377
Phone (305) 418-7771

National Provider Directory

National Provider Directory

Locations

3601 NW 107th Ave
Fl 3
Doral, FL 33178
Phone (305) 418-7771

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1205648102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 NW 107TH AVE FL 3",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784377",
            "telephone_number": "305-418-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 NW 107TH AVE FL 3",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784377",
            "telephone_number": "305-418-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICKLAUS CHILDREN'S HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "AREVALO",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_title_or_position": "POSTDOCTORAL PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "305-418-7771"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.