Organization Active NPI

Iriarte Primary Care, Inc

  • Internal Medicine Physician
  • Hialeah, FL
National Provider Identifier
1922433739
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME116904 Issued in FL
Legal business name
IRIARTE PRIMARY CARE, INC
Practice address
1840 W 49TH St Ste 425
Hialeah, FL 33012-2978
Phone
(305) 982-7914
NPI assigned
Sep 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Authorized official

Name
Dr. Manrique Oscar Iriarte, MD
Title
President
Phone
(305) 982-7914

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME116904 FL Primary

Addresses

Primary practice location

1840 W 49TH St Ste 425
Hialeah, FL 33012-2978

Mailing address

429 NW 130TH Ave
Miami, FL 33182-1143
Phone (305) 781-4815

National Provider Directory

National Provider Directory

Locations

9019 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 438-4000

NPI Registry JSON

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1922433739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 NW 130TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331821143",
            "telephone_number": "305-781-4815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 W 49TH ST STE 425",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122978",
            "telephone_number": "305-982-7914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRIARTE PRIMARY CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-11",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "IRIARTE",
        "authorized_official_first_name": "MANRIQUE",
        "authorized_official_middle_name": "OSCAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-982-7914",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME116904",
            "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 Jun 5, 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.

Verify at the official NPI Registry.