West Hialeah Pediatric Associates, PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME0065418 Issued in FL

Legal business name

WEST HIALEAH PEDIATRIC ASSOCIATES, PA

Practice address

344 W 65TH St
Suite 201
Hialeah, FL 33012-6719

Phone

(305) 558-3930

Fax

(305) 558-3931

NPI assigned

Sep 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Eduardo Fausto Bolumen, M.D.

Title

President

Phone

(305) 558-3930

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Armando Zabala, M.D.

  • Family Medicine Physician
  • Doral, FL
  • NPI 1073504825
  NPD (past)

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352160000000",
    "number": "1528160306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 W 65TH ST",
            "address_2": "SUITE 201",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330126719",
            "telephone_number": "305-558-3930",
            "fax_number": "305-558-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 W 65TH ST",
            "address_2": "SUITE 201",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330126719",
            "telephone_number": "305-558-3930",
            "fax_number": "305-558-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST HIALEAH PEDIATRIC ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2012-11-06",
        "status": "A",
        "authorized_official_last_name": "BOLUMEN",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "FAUSTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-558-3930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0065418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374982700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• West Care Rehabilitation Center Inc
• West Dade Pediatrics
• West Diagnostic Medical Imaging Inc
• West Gables Open MRI Services (West Gables Diagnostic Centers)
• West Hialeah Imaging Associates LLP
• West Hialeah Pharmacy Inc
• West Kendall Rehab, Inc.
• West Medical Center Health Care Corp
• West Medical Network Inc
• West Okeechobee Pharmacy Inc

• Pediatrics Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Pediatrics Physician in Florida

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

Verify at the official NPI Registry.