Individual provider Active NPI

Ino B Halegua, M.D.

  • Cardiovascular Disease Physician
  • Coral Gables, FL
National Provider Identifier
1295745479
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME0022363 Issued in FL
Practice address
370 Minorca Ave
101
Coral Gables, FL 33134-4330
Phone
(305) 667-6920
Fax
(305) 663-2612
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME0022363 FL Primary

Addresses

Primary practice location

370 Minorca Ave
101
Coral Gables, FL 33134-4330

Mailing address

370 Minorca Ave
101
Coral Gables, FL 33134-4330
Phone (305) 667-6920

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081008000843 FL Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 2466520002 Practice locations: Coral Gables, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0022363FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primecare of Coral Gables,PA Past Accepting new patients
Primehealth Physicians LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1295745479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 MINORCA AVE",
            "address_2": "101",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344330",
            "telephone_number": "305-667-6920",
            "fax_number": "305-663-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 MINORCA AVE",
            "address_2": "101",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344330",
            "telephone_number": "305-667-6920",
            "fax_number": "305-663-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALEGUA",
        "first_name": "INO",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME0022363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.