Jidalgo Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

JIDALGO INC

Practice address

6241 N Dixie Hwy FL 2
Fort Lauderdale, FL 33334-3620

Phone

(954) 990-0967

Fax

(954) 990-0967

NPI assigned

Jan 31, 2018

Organization subpart

No

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

Authorized official

Name

Sandra Nadal

Title

Owner

Phone

(954) 990-0967

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517356800000",
    "number": "1235637638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6241 N DIXIE HWY FL 2",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333343620",
            "telephone_number": "954-990-0967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6241 N DIXIE HWY FL 2",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333343620",
            "telephone_number": "954-990-0967",
            "fax_number": "954-990-0967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIDALGO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-31",
        "last_updated": "2018-01-31",
        "status": "A",
        "authorized_official_last_name": "NADAL",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-990-0967"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; 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.