Organization Active NPI

Pierre-Richard Edouard M D PA

  • Family Medicine Physician
  • Miami Lakes, FL
National Provider Identifier
1730436205
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PIERRE-RICHARD EDOUARD M D PA
Practice address
16161 NW 57TH Ave
Miami Lakes, FL 33014-6707
Phone
(305) 625-3409
Fax
(305) 625-2734
NPI assigned
Aug 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Authorized official

Name
Pierre-Richard Edouard, MD
Title
President
Phone
(305) 625-3409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

16161 NW 57TH Ave
Miami Lakes, FL 33014-6707

Mailing address

16161 NW 57TH Ave
Miami Lakes, FL 33014-6707
Phone (305) 625-3409

National Provider Directory

National Provider Directory

Locations

16161 NW 57th Ave
Miami Lakes, FL 33014
Phone (305) 625-3409

NPI Registry JSON

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1730436205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16161 NW 57TH AVE",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146707",
            "telephone_number": "305-625-3409",
            "fax_number": "305-625-2734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16161 NW 57TH AVE",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146707",
            "telephone_number": "305-625-3409",
            "fax_number": "305-625-2734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIERRE-RICHARD EDOUARD M D PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "EDOUARD",
        "authorized_official_first_name": "PIERRE-RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-625-3409",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

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