Organization Active NPI

MCH Pediatric Cardiology,LLC

  • Pediatric Cardiology Physician
  • Orlando, FL
National Provider Identifier
1417935362
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
Legal business name
MCH PEDIATRIC CARDIOLOGY,LLC
Doing business as
MCH Pediatric Cardiology, LLC
Practice address
92 W.Miller Street
Orlando, FL 32806-2022
Phone
(407) 649-6907
Fax
(407) 481-2035
NPI assigned
Jan 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Authorized official

Name
Mr. Pedro Alfaro
Title
Senior SVP & Cfo
Phone
(305) 669-6422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2080P0202X Primary

Addresses

Primary practice location

92 W.Miller Street
Orlando, FL 32806-2022

Mailing address

PO Box 557367
Miami, FL 33255-7367

Other identifiers 1

IdentifierTypeStateIssuer
259873602MedicaidFL

Other names 1

  • MCH Pediatric Cardiology, LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1136160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1417935362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 557367",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332557367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 W.MILLER STREET",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062022",
            "telephone_number": "407-649-6907",
            "fax_number": "407-481-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCH PEDIATRIC CARDIOLOGY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-02",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "ALFARO",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "SENIOR SVP & CFO",
        "authorized_official_telephone_number": "305-669-6422",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259873602",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCH Pediatric Cardiology, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.