Active NPI
Eduardo J Hidalgo MD PA
- Internal Medicine Physician
- Fort Lauderdale, FL
National Provider Identifier
1982957841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Hematology (Internal Medicine) Physician | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0939993 | Eduardo J Hidalgo MD | Certificate of waiver | Feb 2, 2028 |
National Provider Directory
National Provider DirectoryLocations
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
- 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.