Active NPI
Ivan Pita
- Dialysis Equipment & Supplies (DME)
- Hialeah, FL
National Provider Identifier
1578731816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dialysis Equipment & Supplies (DME)
- Practice address
- 3750 W 16TH Ave
Suite 130 Au
Hialeah, FL 33012-4654 - Phone
- (786) 367-7786
- NPI assigned
- Feb 20, 2008
- Last updated
- Feb 20, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dialysis Equipment & Supplies (DME) | 332BD1200X | Primary |
Addresses
Primary practice location
3750 W 16TH Ave
Suite 130 Au
Hialeah, FL 33012-4654
Mailing address
3750 W 16TH Ave
Suite 130 Au
Hialeah, FL 33012-4654
Phone (786) 367-7786
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203465600000",
"number": "1578731816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3750 W 16TH AVE",
"address_2": "SUITE 130 AU",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330124654",
"telephone_number": "786-367-7786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3750 W 16TH AVE",
"address_2": "SUITE 130 AU",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330124654",
"telephone_number": "786-367-7786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITA",
"first_name": "IVAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-20",
"last_updated": "2008-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "332BD1200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
"state": null,
"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 Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.