Organization Active NPI

MCH Pediatric Cardiology LLC

  • Pediatric Cardiology Physician
  • Weston, FL
National Provider Identifier
1992962120
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
Legal business name
MCH PEDIATRIC CARDIOLOGY LLC
Practice address
2900 S Commerce Pkwy
Weston, FL 33331-3622
Phone
(305) 666-6511
NPI assigned
May 16, 2008
Organization subpart
Yes
Parent organization
MCH PEDIATRIC CARDIOLOGY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Authorized official

Name
Pedro Alfaro
Title
Senior VP & Cfo
Phone
(305) 666-6511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0202X Primary

Addresses

Primary practice location

2900 S Commerce Pkwy
Weston, FL 33331-3622

Mailing address

PO Box 557367
Miami, FL 33255-7367
Phone (305) 666-6511

Other identifiers 1

IdentifierTypeStateIssuer
259873606MedicaidFL

National Provider Directory

National Provider Directory
Part of
MCH Pediatric Cardiologyllc

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1992962120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 557367",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332557367",
            "telephone_number": "305-666-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 S COMMERCE PKWY",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313622",
            "telephone_number": "305-666-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCH PEDIATRIC CARDIOLOGY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCH PEDIATRIC CARDIOLOGY LLC",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "ALFARO",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "SENIOR VP & CFO",
        "authorized_official_telephone_number": "305-666-6511"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259873606",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.