Organization Active NPI

Broward Institute of Neuro Science L L C

  • Psychiatry Physician
  • Hialeah, FL
National Provider Identifier
1427713296
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BROWARD INSTITUTE OF NEURO SCIENCE L L C
Practice address
3219 W 4TH Ave
Hialeah, FL 33012-5308
Phone
(305) 261-6633
Fax
(305) 261-6680
NPI assigned
Nov 5, 2021
Organization subpart
Yes
Parent organization
BROWARD INSTITUTE OF NEUROSCIENCE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Ricardo Espaillat, MDNPI 1700838372
Title
MD/Owner
Phone
(954) 346-8300

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X Primary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0804X

Addresses

Primary practice location

3219 W 4TH Ave
Hialeah, FL 33012-5308

Mailing address

7501 Wiles Rd Ste 105
Coral Springs, FL 33067-2063
Phone (954) 346-8300

Other practice location 1

3219 W 4th Ave
Hialeah, FL 33012-5308
Phone (305) 261-6633

Other practice location 2

7501 Wiles Rd
Coral Springs, FL 33067-2063
Phone (954) 341-1022

Other practice location 3

2601 W Lake Mary Blvd # 113&117
Lake Mary, FL 32746-3567
Phone (407) 328-1005

Other practice location 4

7501 Wiles Rd Ste 105
Coral Springs, FL 33067-2063
Phone (954) 346-8300

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kmauricio@regahealth.com Direct
Direct Messaging Address kmauricio@regahealth.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Broward Institute of Neuro Science L L C3 organizations share this tax ID, including this one
Part of
Broward Institute of Neuro Science L L C

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7501 Wiles Rd
Coral Springs, FL 33067
Phone (954) 341-1022

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1427713296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 WILES RD STE 105",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672063",
            "telephone_number": "954-346-8300",
            "fax_number": "954-341-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3219 W 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125308",
            "telephone_number": "305-261-6633",
            "fax_number": "305-261-6680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3219 W 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330125308",
            "country_code": "US",
            "telephone_number": "305-261-6633",
            "fax_number": "305-261-6680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7501 Wiles Rd",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330672063",
            "country_code": "US",
            "telephone_number": "954-341-1022",
            "fax_number": "954-341-1082",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2601 W Lake Mary Blvd # 113&117",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327463567",
            "country_code": "US",
            "telephone_number": "407-328-1005",
            "fax_number": "407-328-1020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7501 Wiles Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330672063",
            "country_code": "US",
            "telephone_number": "954-346-8300",
            "fax_number": "954-346-8303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BROWARD INSTITUTE OF NEURO SCIENCE L L C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROWARD INSTITUTE OF NEUROSCIENCE LLC",
        "enumeration_date": "2021-11-05",
        "last_updated": "2023-09-06",
        "certification_date": "2021-11-05",
        "status": "A",
        "authorized_official_last_name": "ESPAILLAT",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "954-346-8300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmauricio@regahealth.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "kmauricio@regahealth.com",
            "address_1": "7501 Wiles Rd Ste 105",
            "city": "Coral Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330672063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmauricio@regahealth.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "kmauricio@regahealth.com",
            "address_1": "3219 W 4th Ave",
            "city": "Hialeah",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330125308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Sep 6, 2023; 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.