Active NPI
Variety Children's Hospital
Doing business as MCH Radiology
- Pediatric Radiology Physician
- Miami Lakes, FL
National Provider Identifier
1457625642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Radiology Physician
- Legal business name
- VARIETY CHILDREN'S HOSPITAL
- Doing business as
- MCH Radiology
- Practice address
- 15025 NW 77TH Ave
Miami Lakes, FL 33014-6852 - Phone
- (305) 666-6511
- NPI assigned
- Mar 6, 2012
- Last updated
- Mar 6, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pedro Alfaro
- Title
- Senior VP & Cfo
- Phone
- (305) 666-6511
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Radiology Physician | 2085P0229X | NU | Primary |
Addresses
Primary practice location
15025 NW 77TH Ave
Miami Lakes, FL 33014-6852
Mailing address
PO Box 557367
Miami, FL 33255-7367
Phone (786) 624-5845
Other names 1
- MCH Radiology
National Provider Directory
National Provider Directory- Tax ID family
- Variety Children's Hospital
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
dba MCH Radiology
- Pediatric Radiology Physician
- Miami, FL
- NPI 1871736975
-
dba MCH Radiology
- Pediatric Radiology Physician
- Miramar, FL
- NPI 1326312638
-
dba MCH Radiology
- Pediatric Radiology Physician
- Miami, FL
- NPI 1679846935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330992000000",
"number": "1457625642",
"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",
"telephone_number": "786-624-5845",
"fax_number": "786-624-2688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15025 NW 77TH AVE",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330146852",
"telephone_number": "305-666-6511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VARIETY CHILDREN'S HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-06",
"last_updated": "2012-03-06",
"status": "A",
"authorized_official_last_name": "ALFARO",
"authorized_official_first_name": "PEDRO",
"authorized_official_title_or_position": "SENIOR VP & CFO",
"authorized_official_telephone_number": "305-666-6511"
},
"taxonomies": [
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MCH Radiology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Miami Lakes, FL
- Michel Guy Vandormael, MD
- Joshua Saul Vapnik, MD
- Christian Varela
- Variety Children's Hospital (Nicklaus Children's Miami Lakes Outpatient Center)
- Variety Children's Hospital (MCH Specialist)
- Sandra Vasquez
- Maura Vazquez Acosta
- Ariane Vazquez Groeiro
- Maricel Vazquez-Guerra, SPEECH AND LANGUAGE
- Benibel Montas Vazquez-Pausa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.