Individual provider Active NPI

Hilario A Isaba, MD

  • General Practice Physician
  • Hialeah, FL
National Provider Identifier
1386752087
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME0042941 Issued in FL
Practice address
4910 E 2ND Ave
Hialeah, FL 33013-1410
Phone
(786) 431-1643
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME0042941 FL Primary

Addresses

Primary practice location

4910 E 2ND Ave
Hialeah, FL 33013-1410

Mailing address

4910 E 2ND Ave
Hialeah, FL 33013-1410
Phone (786) 431-1643

Other names 1

  • Hilario A Isaba Former name

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

LicenseStateTypeSpecialty
ME0042941FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allerg-Meg Medical Services Inc PastSince Jun 2, 2014 Accepting new patients

Organizations & group practices 1

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1386752087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 E 2ND AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131410",
            "telephone_number": "786-431-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 E 2ND AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131410",
            "telephone_number": "786-431-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISABA",
        "first_name": "HILARIO",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME0042941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HILARIO",
            "last_name": "ISABA",
            "middle_name": "A",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 24, 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.