Organization Active NPI

Bernardo Pascual M D P a

  • Psychiatry Physician
  • Hialeah, FL
National Provider Identifier
1952566432
Registry record updated Jun 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BERNARDO PASCUAL M D P A
Practice address
17670 NW 78TH Ave
Ste 211
Hialeah, FL 33015-3670
Phone
(305) 822-2818
Fax
(305) 827-4815
NPI assigned
Jul 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2009

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

Authorized official

Name
Dr. Bernardo Pascual, M D P A
Title
President/Owner
Phone
(305) 822-2818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

17670 NW 78TH Ave
Ste 211
Hialeah, FL 33015-3670

Mailing address

17670 NW 78TH Ave
Ste 211
Hialeah, FL 33015-3670
Phone (305) 822-2818

Other identifiers 1

IdentifierTypeStateIssuer
373168500MedicaidFL

National Provider Directory

National Provider Directory

Locations

17670 NW 78th Ave
Ste 211
Hialeah, FL 33015
Phone (305) 822-2818

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245715200000",
    "number": "1952566432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17670 NW 78TH AVE",
            "address_2": "STE 211",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153670",
            "telephone_number": "305-822-2818",
            "fax_number": "305-827-4815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17670 NW 78TH AVE",
            "address_2": "STE 211",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153670",
            "telephone_number": "305-822-2818",
            "fax_number": "305-827-4815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNARDO PASCUAL M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-23",
        "last_updated": "2009-06-23",
        "status": "A",
        "authorized_official_last_name": "PASCUAL",
        "authorized_official_first_name": "BERNARDO",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "305-822-2818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M D P A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373168500",
            "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 Jun 23, 2009; 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.