Active NPI
Bernardo Pascual, M.D.
- Psychiatry Physician
- Hialeah, FL
National Provider Identifier
1295801710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME0064386
- Practice address
- 17670 NW 78TH Ave
Ste 211
Hialeah, FL 33015-3670 - Phone
- (305) 822-2818
- Fax
- (305) 827-4815
- NPI assigned
- Nov 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME0064386 | FL | Primary |
Addresses
Primary practice location
17670 NW 78TH Ave
Ste 211
Hialeah, FL 33015-3670
Mailing address
17670 NW 78TH Ave
Ste 211
Hialeah, FL 33015-3670
Phone (305) 822-2818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 373168500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0064386 | FL | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245628800000",
"number": "1295801710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17670 NW 78TH AVE",
"address_2": "STE 211",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330153670",
"telephone_number": "305-822-2818",
"fax_number": "305-827-4815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17670 NW 78TH AVE",
"address_2": "STE 211",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330153670",
"telephone_number": "305-822-2818",
"fax_number": "305-827-4815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASCUAL",
"first_name": "BERNARDO",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-27",
"last_updated": "2009-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME0064386",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "373168500",
"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 Jun 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.