Pac Medical Services Corp

Primary specialty

Ph.D. Medical GeneticsTaxonomy code 170100000X

Legal business name

PAC MEDICAL SERVICES CORP

Practice address

3064 W 12TH Ave
Hialeah, FL 33012-4836

Phone

(305) 231-5058

Fax

(305) 231-5059

NPI assigned

Jan 5, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Alberto C Pena

Title

President

Phone

(305) 231-5059

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982751525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3064 W 12TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124836",
            "telephone_number": "305-231-5058",
            "fax_number": "305-231-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3064 W 12TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124836",
            "telephone_number": "305-231-5058",
            "fax_number": "305-231-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAC MEDICAL SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "ALBERTO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-231-5059",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ph.D. Medical Genetics in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Ph.D. Medical Genetics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.