Active NPI
Estilita Pascual, M.D.
- General Practice Physician
- Hialeah, FL
National Provider Identifier
1205935178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME0063839
- Practice address
- 2100 W 76TH St FL 5
Hialeah, FL 33016-5539 - Phone
- (786) 536-9719
- Fax
- (786) 536-9830
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ME0063839 | FL | Primary |
Addresses
Primary practice location
2100 W 76TH St FL 5
Hialeah, FL 33016-5539
Mailing address
1470 NW 107TH Ave Ste G
Sweetwater, FL 33172-2734
Phone (786) 536-9719
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109781900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0063839 | FL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zion Health Care LLC | Current | Accepting new patients | |
| Zion Health Care LLC | General Practice | Current | Accepting new patients |
| MJ Medical and Dental Group Inc | Current | Accepting new patients | |
| Estilita Pascual MD PA | General Practice | Past | Accepting new patients |
| Medchoice of North Hialeah, L.L.C. | Past | Accepting new patients | |
| Medchoice of West Hialeah LLC | Past | Accepting new patients |
Locations
1578 W 68th St
Hialeah, FL 33014
Phone (305) 557-3889
2100 W 76th St
Fl 5
Hialeah, FL 33016
Phone (786) 536-9719
11389 W Flagler St
Miami, FL 33174
Phone (305) 480-2045
1470 NW 107th Ave
Ste G
Sweetwater, FL 33172
Phone (305) 594-8666
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Legal Medicine
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616716800000",
"number": "1205935178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1470 NW 107TH AVE STE G",
"city": "SWEETWATER",
"state": "FL",
"postal_code": "331722734",
"telephone_number": "786-536-9719",
"fax_number": "786-536-9847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 W 76TH ST FL 5",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330165539",
"telephone_number": "786-536-9719",
"fax_number": "786-536-9830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASCUAL",
"first_name": "ESTILITA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2021-03-26",
"certification_date": "2021-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME0063839",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "109781900",
"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 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.