Organization Active NPI

Miguel a Oyarzun MD PA

  • General Acute Care Hospital
  • Hialeah, FL
National Provider Identifier
1720230576
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
ME0020882 Issued in FL
Legal business name
MIGUEL A OYARZUN MD PA
Practice address
4890 W 2 LN
Hialeah, FL 33012
Phone
(305) 558-4411
Fax
(305) 558-4611
NPI assigned
Oct 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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

Authorized official

Name
Miguel Angel Oyarzun, INTERNAL MEDICINE/MDNPI 1235152729
Title
Owner
Phone
(305) 558-4411

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X ME0020882 FL Primary

Addresses

Primary practice location

4890 W 2 LN
Hialeah, FL 33012

Mailing address

4890 W 2ND LN
Hialeah, FL 33012-4363
Phone (305) 558-4411

Other identifiers 1

IdentifierTypeStateIssuer
055031100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090110000072 FL Part B Supplier - Clinic/Group Practice 1759444201 Receives reassigned benefits from 1 practitioner
Practice locations: Hialeah, FL; Miami Springs, FL; Miami, FL

National Provider Directory

National Provider Directory

Locations

4890 W 2nd Ln
Hialeah, FL 33012
Phone (305) 558-4411

6750 W 22nd Ct
Hialeah, FL 33016
Phone (305) 512-4688

1435 W 49th Pl
Ste 703
Hialeah, FL 33012
Phone (305) 558-4411

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1720230576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4890 W 2ND LN",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124363",
            "telephone_number": "305-558-4411",
            "fax_number": "305-558-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4890 W 2 LN",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33012",
            "telephone_number": "305-558-4411",
            "fax_number": "305-558-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIGUEL A OYARZUN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-10",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "OYARZUN",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "ANGEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-558-4411",
        "authorized_official_credential": "INTERNAL MEDICINE/MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "FL",
            "license": "ME0020882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055031100",
            "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 Jan 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.