Individual provider Active NPI

Francisco M Bautista, MD

  • Internal Medicine Physician
  • Hialeah, FL
National Provider Identifier
1891742169
Registry record updated Oct 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME-73024 Issued in FL
Practice address
4410 W 16TH Ave
Suite 55
Hialeah, FL 33012-7100
Phone
(305) 824-8559
Fax
(305) 824-8561
NPI assigned
May 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME-73024 FL Primary

Addresses

Primary practice location

4410 W 16TH Ave
Suite 55
Hialeah, FL 33012-7100

Mailing address

4410 W 16TH Ave
Suite 55
Hialeah, FL 33012-7100
Phone (305) 824-8559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041108000977 FL Practitioner - General PracticePractitioner - Internal Medicine 4486623360 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME-73024FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Felicidad Medical Center Inc CurrentSince Apr 30, 2014 Accepting new patients
L & H Diagnostic Center Past Accepting new patients
Ultimate Care Clinic Inc Past Accepting new patients
Rafael Pelegrin M.D,Medical GRP, LLC Past Accepting new patients
Arad Medical Rehabilitation Past Accepting new patients

Locations

4410 W 16th Ave
Ste 55
Hialeah, FL 33012
Phone (305) 824-8559

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412121600000",
    "number": "1891742169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 W 16TH AVE",
            "address_2": "SUITE 55",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127100",
            "telephone_number": "305-824-8559",
            "fax_number": "305-824-8561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 W 16TH AVE",
            "address_2": "SUITE 55",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127100",
            "telephone_number": "305-824-8559",
            "fax_number": "305-824-8561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "FRANCISCO",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2014-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME-73024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.