Ralph Roland Hallac, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

ME 97171 Issued in FL

Practice address

9999 NE 2ND Ave
Suite 119
Miami Shores, FL 33138-2352

Phone

(305) 756-4400

Fax

(305) 756-4484

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311724800000",
    "number": "1780607093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 GONDOLIERE AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331436308",
            "telephone_number": "786-431-5401",
            "fax_number": "786-431-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9999 NE 2ND AVE",
            "address_2": "SUITE 119",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382352",
            "telephone_number": "305-756-4400",
            "fax_number": "305-756-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLAC",
        "first_name": "RALPH",
        "middle_name": "ROLAND",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2011-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "MA34540",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME 97171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isis M Gonzalez Soriano, CBHCMS
• Nereida Gonzalez
• Amalie Marie Guevara
• Jayne Guthorn
• Natali Gutierrez Gomez, PA-C
• Connie Han, PA-C
• Jessica E Hatterman, MS, RMFTI, RMHCI
• Joanne J. Hatton, RPH,CPH,NPH
• Marnie Larissa Hawes I, ATC
• Bailey Renee Hawkins, DNP CRNA

• Nephrology Physician in Miami Shores, FL
• Providers in Miami Shores, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.

Verify at the official NPI Registry.