Organization Active NPI

Fabconsulting1Corp

  • Primary Care Clinic/Center
  • Hialeah, FL
National Provider Identifier
1285095323
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME 22691 Issued in FL
Legal business name
FABCONSULTING1CORP
Practice address
6187 NW 167TH St
Suite H 13
Hialeah, FL 33015-4340
Phone
(786) 502-2178
NPI assigned
Mar 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2016

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

Authorized official

Name
Dr. Baudilio Cusco-Prieto, M D
Title
Medical Director
Phone
(786) 502-2178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME 22691 FL Primary

Addresses

Primary practice location

6187 NW 167TH St
Suite H 13
Hialeah, FL 33015-4340

Mailing address

6187 NW 167TH St
Suite H 13
Hialeah, FL 33015-4340
Phone (786) 502-2178

Other names 1

  • humanbalancewellnesscenter Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458172800000",
    "number": "1285095323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6187 NW 167TH ST",
            "address_2": "SUITE H 13",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154340",
            "telephone_number": "786-502-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6187 NW 167TH ST",
            "address_2": "SUITE H 13",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154340",
            "telephone_number": "786-502-2178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FABCONSULTING1CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-17",
        "last_updated": "2016-03-17",
        "status": "A",
        "authorized_official_last_name": "CUSCO-PRIETO",
        "authorized_official_first_name": "BAUDILIO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "786-502-2178",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME 22691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "humanbalancewellnesscenter",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 17, 2016; 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.