NPIMap

Organization Active NPI

St Jude Professional Service Inc

  • Clinic/Center
  • Hialeah, FL
National Provider Identifier
1679844336
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
10256 Issued in FL
Legal business name
ST JUDE PROFESSIONAL SERVICE INC
Practice address
2387 W 68TH St
504
Hialeah, FL 33016-6889
Phone
(786) 360-1452
Fax
(786) 360-1877
NPI assigned
Jan 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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

Authorized official

Name
Osvaldo Pineiro Sr., LMT
Title
President
Phone
(786) 360-1452

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 10256 FL Primary

Addresses

Primary practice location

2387 W 68TH St
504
Hialeah, FL 33016-6889

Mailing address

2387 W 68TH St
504
Hialeah, FL 33016-6889
Phone (786) 360-1452

National Provider Directory

National Provider Directory

Locations

2387 W 68th St
Ste 504
Hialeah, FL 33016
Phone (786) 360-1452

NPI Registry JSON

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1679844336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2387 W 68TH ST",
            "address_2": "504",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330166889",
            "telephone_number": "786-360-1452",
            "fax_number": "786-360-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2387 W 68TH ST",
            "address_2": "504",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330166889",
            "telephone_number": "786-360-1452",
            "fax_number": "786-360-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JUDE PROFESSIONAL SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "PINEIRO",
        "authorized_official_first_name": "OSVALDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-360-1452",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "10256",
            "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 Mar 9, 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.