Organization Active NPI

Julio Fernandez-Bombino & Reynaldo Molina

  • Nephrology Physician
  • Hialeah, FL
National Provider Identifier
1821112020
Registry record updated Aug 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
JULIO FERNANDEZ-BOMBINO & REYNALDO MOLINA
Practice address
7100 W 20TH Ave
602
Hialeah, FL 33016-1897
Phone
(305) 557-8300
Fax
(305) 557-1410
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2010

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

Authorized official

Name
Reynaldo Javier MolinaNPI 1912916610
Title
Office Manager
Phone
(305) 557-8300

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
Nephrology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

7100 W 20TH Ave
602
Hialeah, FL 33016-1897

Mailing address

7100 W 20TH Ave
602
Hialeah, FL 33016-1897
Phone (305) 557-8300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050608000446 FL Part B Supplier - Clinic/Group Practice 4981647138 Receives reassigned benefits from 2 practitioners
Practice locations: Hialeah, FL

National Provider Directory

National Provider Directory

Locations

7100 W 20th Ave
Ste 602
Hialeah, FL 33016
Phone (305) 557-8300

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1821112020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 W 20TH AVE",
            "address_2": "602",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161897",
            "telephone_number": "305-557-8300",
            "fax_number": "305-557-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 W 20TH AVE",
            "address_2": "602",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161897",
            "telephone_number": "305-557-8300",
            "fax_number": "305-557-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIO FERNANDEZ-BOMBINO & REYNALDO MOLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "REYNALDO",
        "authorized_official_middle_name": "JAVIER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "305-557-8300"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "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 Aug 13, 2010; 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.