Organization Active NPI

Drfico Integrative Medicine and Functional Gastroenterology Center

  • Gastroenterology Physician
  • Hialeah, FL
National Provider Identifier
1528633047
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
DRFICO INTEGRATIVE MEDICINE AND FUNCTIONAL GASTROENTEROLOGY CENTER
Practice address
7100 W 20TH Ave Ste 106
Hialeah, FL 33016-1813
Phone
(347) 964-2817
NPI assigned
May 26, 2021
Last updated
May 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Authorized official

Name
Francisco D Bautista-Mena, MDNPI 1356468698
Title
Chief Executive Officer
Phone
(347) 964-2817

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
Gastroenterology Physician 207RG0100X NU Primary

Addresses

Primary practice location

7100 W 20TH Ave Ste 106
Hialeah, FL 33016-1813

Mailing address

8350 SW 131St St
Pinecrest, FL 33156-6656
Phone (347) 964-2817

Other practice location 1

950 N Krome Ave Ste 408
Homestead, FL 33030-4443
Phone (347) 964-2817

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621987200000",
    "number": "1528633047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8350 SW 131ST ST",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331566656",
            "telephone_number": "347-964-2817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 W 20TH AVE STE 106",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161813",
            "telephone_number": "347-964-2817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 N Krome Ave Ste 408",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330304443",
            "country_code": "US",
            "telephone_number": "347-964-2817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DRFICO INTEGRATIVE MEDICINE AND FUNCTIONAL GASTROENTEROLOGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA-MENA",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "347-964-2817",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 May 26, 2021; 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.