Organization Active NPI

Eduardo J Hidalgo MD PA

  • Internal Medicine Physician
  • Fort Lauderdale, FL
National Provider Identifier
1982957841
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
EDUARDO J HIDALGO MD PA
Practice address
4006 N Ocean Blvd
Second Floor
Ft Lauderdale, FL 33308-6420
Phone
(954) 566-4006
Fax
(954) 566-1960
NPI assigned
Oct 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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

Authorized official

Name
Dr. Eduardo Jose Hidalgo, MD
Title
President
Phone
(954) 566-4006

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Hematology (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0000X

Addresses

Primary practice location

4006 N Ocean Blvd
Second Floor
Ft Lauderdale, FL 33308-6420

Mailing address

4006 N Ocean Blvd
Second Floor
Ft Lauderdale, FL 33308-6420
Phone (954) 566-4006

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0939993Eduardo J Hidalgo MD4006 North Ocean Blvd, Fort Lauderdale, FL 33308Certificate of waiverFeb 2, 2028

National Provider Directory

National Provider Directory

Locations

4006 N Ocean Blvd
Fl Second
Ft Lauderdale, FL 33308
Phone (954) 566-4006

4006 N Ocean Blvd
Fl 2
Ft Lauderdale, FL 33308
Phone (954) 566-4006

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8567/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350432000000",
    "number": "1982957841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4006 N OCEAN BLVD",
            "address_2": "SECOND FLOOR",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333086420",
            "telephone_number": "954-566-4006",
            "fax_number": "954-566-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4006 N OCEAN BLVD",
            "address_2": "SECOND FLOOR",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333086420",
            "telephone_number": "954-566-4006",
            "fax_number": "954-566-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUARDO J HIDALGO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-17",
        "last_updated": "2012-10-17",
        "status": "A",
        "authorized_official_last_name": "HIDALGO",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-566-4006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.