Oxy Heal Group Corp

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME22691 Issued in FL

Legal business name

OXY HEAL GROUP CORP

Practice address

6187 NW 167TH St
H-13
Hialeah, FL 33015-4340

Phone

(786) 502-2178

NPI assigned

Mar 14, 2016

Organization subpart

No

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

Authorized official

Name

Baudilio Jesus Cusco-Prieto, M.D

Title

Medical Director

Phone

(786) 502-2178

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1659732030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6187 NW 167TH ST",
            "address_2": "H-13",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154340",
            "telephone_number": "786-502-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6187 NW 167TH ST",
            "address_2": "H-13",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154340",
            "telephone_number": "786-502-2178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OXY HEAL GROUP CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-14",
        "last_updated": "2016-03-14",
        "status": "A",
        "authorized_official_last_name": "CUSCO-PRIETO",
        "authorized_official_first_name": "BAUDILIO",
        "authorized_official_middle_name": "JESUS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "786-502-2178",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME22691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.