MCH Pediatric Cardiology LLC

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

Legal business name

MCH PEDIATRIC CARDIOLOGY LLC

Practice address

3601 NW 107TH Ave
Doral, FL 33178-4377

Phone

(305) 666-6511

NPI assigned

May 16, 2008

Last updated

May 16, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

MCH PEDIATRIC CARDIOLOGY LLCAs reported in NPPES

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

Authorized official

Name

Pedro Alfaro

Title

Senior VP & Cfo

Phone

(305) 666-6511

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

MCH Pediatric Cardiology LLC

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1871760009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 557367",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332557367",
            "telephone_number": "305-666-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 NW 107TH AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784377",
            "telephone_number": "305-666-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCH PEDIATRIC CARDIOLOGY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCH PEDIATRIC CARDIOLOGY LLC",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "ALFARO",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "SENIOR VP & CFO",
        "authorized_official_telephone_number": "305-666-6511"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259873605",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy McClellan
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• Leslie McGough
• Mci Medical Equipment,Corp.
• MCJ Medical Center Corp
• MCK Therapy, LLC
• Erika McLymont
• Angela McNair

• Pediatric Cardiology Physician in Doral, FL
• Providers in Doral, FL by specialty
• Pediatric Cardiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.