Organization Active NPI

Hialeah Physician Care LLC

  • Chiropractor
  • Hialeah, FL
National Provider Identifier
1801114137
Registry record updated May 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9109 Issued in FL
Legal business name
HIALEAH PHYSICIAN CARE LLC
Practice address
1901 W 39TH St
Hialeah, FL 33012-7001
Phone
(305) 971-8484
NPI assigned
May 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2010

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

Authorized official

Name
Dr. Richard D Pellegrino, DC
Title
Manager
Phone
(305) 971-8484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH9109 FL Primary

Addresses

Primary practice location

1901 W 39TH St
Hialeah, FL 33012-7001

Mailing address

1901 W 39TH St
Hialeah, FL 33012-7001
Phone (305) 971-8484

National Provider Directory

National Provider Directory

Locations

1901 W 39th St
Hialeah, FL 33012
Phone (305) 971-8484

NPI Registry JSON

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1801114137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 W 39TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127001",
            "telephone_number": "305-971-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 W 39TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127001",
            "telephone_number": "305-971-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIALEAH PHYSICIAN CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-11",
        "last_updated": "2010-05-11",
        "status": "A",
        "authorized_official_last_name": "PELLEGRINO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-971-8484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9109",
            "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 May 11, 2010; 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.