Hialeah Medical, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HIALEAH MEDICAL, INC.

Practice address

4980 W 10TH Ave Ste 201
Hialeah, FL 33012-3437

Phone

(786) 972-5114

Fax

(305) 456-6194

NPI assigned

Mar 20, 2015

Organization subpart

No

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

Authorized official

Name

Raudel La O

Title

President

Phone

(786) 334-6170

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1426809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1972997682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4980 W 10TH AVE STE 201",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123437",
            "telephone_number": "786-972-5114",
            "fax_number": "305-456-6194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4980 W 10TH AVE STE 201",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123437",
            "telephone_number": "786-972-5114",
            "fax_number": "305-456-6194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIALEAH MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-20",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "LA O",
        "authorized_official_first_name": "RAUDEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-334-6170"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hialeah Imaging Corp
• Hialeah Kidney Dialysis LLC
• Hialeah Medical Center Corp
• Hialeah Medical Network Inc
• Hialeah Medical Supplies Corp
• Hialeah Medico Care, LLC
• Hialeah Mire Office Corp
• Hialeah Pathology Services, PA
• Hialeah Pharmacy Inc.
• Hialeah Physician Care LLC

• Family Medicine Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.