Active NPI
Manuel Alfredo Galguera, MD
- Pediatrics Physician
- Hialeah, FL
National Provider Identifier
1811978323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME0075703
- Practice address
- 1816 E 4TH Ave
Hialeah, FL 33010-3115 - Phone
- (305) 805-0012
- Fax
- (305) 883-9003
- NPI assigned
- Nov 10, 2005
- Last updated
- Jul 27, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME0075703 | FL | Primary |
Addresses
Primary practice location
1816 E 4TH Ave
Hialeah, FL 33010-3115
Mailing address
1816 E 4TH Ave
Hialeah, FL 33010-3115
Phone (305) 805-0012
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 254645100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0075703 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premium Care Doctors Corp. | Pediatrics | Current | Accepting new patients |
Locations
1816 E 4th Ave
Hialeah, FL 33010
Phone (305) 805-0012
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690416000000",
"number": "1811978323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1816 E 4TH AVE",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330103115",
"telephone_number": "305-805-0012",
"fax_number": "305-883-9003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1816 E 4TH AVE",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330103115",
"telephone_number": "305-805-0012",
"fax_number": "305-883-9003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALGUERA",
"first_name": "MANUEL",
"middle_name": "ALFREDO",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-10",
"last_updated": "2023-07-27",
"certification_date": "2023-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME0075703",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "254645100",
"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 Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.