Mi Amigo Pediatra, PA

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

MI AMIGO PEDIATRA, PA

Practice address

240 Hialeah Dr
Hialeah, FL 33010-5219

Phone

(305) 888-3338

Fax

(305) 888-3359

NPI assigned

Dec 3, 2007

Organization subpart

No

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

Authorized official

Name

Miriam Estevez, MD

Title

Doctor

Phone

(305) 888-3338

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1356523245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 HIALEAH DR",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330105219",
            "telephone_number": "305-888-3338",
            "fax_number": "305-888-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 HIALEAH DR",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330105219",
            "telephone_number": "305-888-3338",
            "fax_number": "305-888-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI AMIGO PEDIATRA, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "ESTEVEZ",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "305-888-3338",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mi Universo Eres Solo Tu LLC

• Exclusive Provider Organization in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Exclusive Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.