Organization Active NPI

West Dade Pediatrics

  • Pediatrics Physician
  • Hialeah, FL
National Provider Identifier
1902973464
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
WEST DADE PEDIATRICS
Practice address
7150 W 20TH Ave
Suite 205
Hialeah, FL 33016-5531
Phone
(305) 823-0901
Fax
(305) 558-5304
NPI assigned
Nov 29, 2006
Last updated
Mar 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Authorized official

Name
Mr. Julio C Egusquiza, MDNPI 1356304885
Title
Presidential
Phone
(305) 823-0901

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
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

7150 W 20TH Ave
Suite 205
Hialeah, FL 33016-5531

Mailing address

3220 SW 107TH Ave
Miami, FL 33165-3606
Phone (305) 551-1195

Other identifiers 2

IdentifierTypeStateIssuer
268809300MedicaidFL
268809301MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
West Dade Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7100 W 20th Ave
Ste 411
Hialeah, FL 33016
Phone (305) 556-8353

7150 W 20th Ave
Ste 205
Hialeah, FL 33016
Phone (305) 823-0901

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1902973464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 SW 107TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653606",
            "telephone_number": "305-551-1195",
            "fax_number": "305-551-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 W 20TH AVE",
            "address_2": "SUITE 205",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165531",
            "telephone_number": "305-823-0901",
            "fax_number": "305-558-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST DADE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2025-03-27",
        "status": "A",
        "authorized_official_last_name": "EGUSQUIZA",
        "authorized_official_first_name": "JULIO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENTIAL",
        "authorized_official_telephone_number": "305-823-0901",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268809300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268809301",
            "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 Mar 27, 2025; 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.