Organization Active NPI

Estilita Pascual MD PA

  • General Practice Physician
  • Hialeah, FL
National Provider Identifier
1407907611
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME63839 Issued in FL
Legal business name
ESTILITA PASCUAL MD PA
Practice address
1255 W 46TH St
Suite 8
Hialeah, FL 33012-3283
Phone
(305) 828-0048
Fax
(305) 828-2639
NPI assigned
Jan 15, 2007
Last updated
Jul 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Authorized official

Name
Estilita Pascual, MDNPI 1205935178
Title
President
Phone
(305) 828-0048

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME63839 FL Primary

Addresses

Primary practice location

1255 W 46TH St
Suite 8
Hialeah, FL 33012-3283

Mailing address

1255 W 46TH St
Suite 8
Hialeah, FL 33012-3283
Phone (305) 828-0048

Other identifiers 1

IdentifierTypeStateIssuer
372599500MedicaidFL

National Provider Directory

National Provider Directory

Locations

1255 W 46th St
Ste 11
Hialeah, FL 33012
Phone (305) 826-7373

1255 W 46th St
Ste 8
Hialeah, FL 33012
Phone (305) 828-0048

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1407907611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 W 46TH ST",
            "address_2": "SUITE 8",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123283",
            "telephone_number": "305-828-0048",
            "fax_number": "305-828-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 W 46TH ST",
            "address_2": "SUITE 8",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123283",
            "telephone_number": "305-828-0048",
            "fax_number": "305-828-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTILITA PASCUAL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "PASCUAL",
        "authorized_official_first_name": "ESTILITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-828-0048",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME63839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372599500",
            "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 Jul 7, 2008; 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.