Organization Active NPI

Palm Spring Medical Care of Hialeah

  • General Practice Physician
  • Hialeah, FL
National Provider Identifier
1255670592
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME105031 Issued in FL
Legal business name
PALM SPRING MEDICAL CARE OF HIALEAH
Practice address
1140 W 50TH St Ste 205
Hialeah, FL 33012-3438
Phone
(305) 315-6153
NPI assigned
Feb 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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

Authorized official

Name
Maria C Fernandez, MD
Title
President
Phone
(786) 315-6153

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X ME105031 FL Primary

Addresses

Primary practice location

1140 W 50TH St Ste 205
Hialeah, FL 33012-3438

Mailing address

1140 W 50TH St Ste 205
Hialeah, FL 33012-3438
Phone (305) 315-6153

National Provider Directory

National Provider Directory

Locations

1140 W 50th St
Ste 205
Hialeah, FL 33012
Phone (305) 315-6153

NPI Registry JSON

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360108800000",
    "number": "1255670592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 W 50TH ST STE 205",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123438",
            "telephone_number": "305-315-6153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W 50TH ST STE 205",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123438",
            "telephone_number": "305-315-6153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM SPRING MEDICAL CARE OF HIALEAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-06",
        "last_updated": "2013-02-06",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-315-6153",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME105031",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 6, 2013; 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.