Active NPI
B & C Family Health Group
- Adolescent Medicine (Internal Medicine) Physician
- Hialeah, FL
National Provider Identifier
1679655880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent Medicine (Internal Medicine) Physician
- Legal business name
- B & C FAMILY HEALTH GROUP
- Practice address
- 7761 NW 146TH St
Hialeah, FL 33016-1559 - Phone
- (305) 822-5896
- Fax
- (305) 822-4260
- NPI assigned
- Oct 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Roberto Cucurullo, PA
- Title
- Vice President
- Phone
- (305) 822-5896
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Adolescent Medicine (Internal Medicine) Physician | 207RA0000X | Primary | ||
| Pediatrics Physician | 208000000X |
Addresses
Primary practice location
7761 NW 146TH St
Hialeah, FL 33016-1559
Mailing address
7761 NW 146TH St
Hialeah, FL 33016-1559
Phone (305) 822-5896
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 269313500 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1301529600000",
"number": "1679655880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7761 NW 146TH ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330161559",
"telephone_number": "305-822-5896",
"fax_number": "305-822-4260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7761 NW 146TH ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330161559",
"telephone_number": "305-822-5896",
"fax_number": "305-822-4260"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "B & C FAMILY HEALTH GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-19",
"last_updated": "2011-03-31",
"status": "A",
"authorized_official_last_name": "CUCURULLO",
"authorized_official_first_name": "ROBERTO",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "305-822-5896",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PA"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RA0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Adolescent Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "269313500",
"state": "FL"
}
],
"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 Mar 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.