Organization Active NPI

Hispanic Health Enterprises LLC

  • Family Medicine Physician
  • Naples, FL
National Provider Identifier
1477801942
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
PA9105645 Issued in FL
Legal business name
HISPANIC HEALTH ENTERPRISES LLC
Practice address
4990 Golden Gate Pkwy
Suite 2
Naples, FL 34116-6962
Phone
(305) 439-1855
NPI assigned
Aug 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Authorized official

Name
Tabare D Tabar, PHYSICIAN ASSISTANTNPI 1891730008
Title
Owner/President
Phone
(305) 439-1855

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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X PA9105645 FL Primary

Addresses

Primary practice location

4990 Golden Gate Pkwy
Suite 2
Naples, FL 34116-6962

Mailing address

4990 Golden Gate Pkwy
Suite 2
Naples, FL 34116-6962
Phone (305) 439-1855

National Provider Directory

National Provider Directory

Locations

4990 Golden Gate Pkwy
Ste 2
Naples, FL 34116
Phone (239) 692-8309

Practitioners & affiliated clinicians

Practitioners 1

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": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1477801942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4990 GOLDEN GATE PKWY",
            "address_2": "SUITE 2",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341166962",
            "telephone_number": "305-439-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4990 GOLDEN GATE PKWY",
            "address_2": "SUITE 2",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341166962",
            "telephone_number": "305-439-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HISPANIC HEALTH ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "TABAR",
        "authorized_official_first_name": "TABARE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "305-439-1855",
        "authorized_official_credential": "PHYSICIAN ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "PA9105645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.

Verify at the official NPI Registry.