Medicao de la Familia Corp

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MEDICAO DE LA FAMILIA CORP

Practice address

865 E 10TH Ave
Hialeah, FL 33010-4645

Phone

(305) 885-1971

Fax

(305) 885-1973

NPI assigned

Jun 5, 2009

Last updated

Jun 5, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Guillermo Carballido

Title

President

Phone

(305) 885-1971

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244160000000",
    "number": "1700012648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 E 10TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104645",
            "telephone_number": "305-885-1971",
            "fax_number": "305-885-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 E 10TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104645",
            "telephone_number": "305-885-1971",
            "fax_number": "305-885-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAO DE LA FAMILIA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-05",
        "last_updated": "2009-06-05",
        "status": "A",
        "authorized_official_last_name": "CARBALLIDO",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-885-1971"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Hialeah, FL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2009; 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.