Active NPI 1063512960 Individual Practitioner Male Practitioner

Dr. Edgardo B. Penabad , MD

General Practice • Hialeah, FL

Professional Overview & Biography Verified Profile Summary

Dr. Edgardo Penabad, MD is a registered healthcare professional specializing in General Practice in Hialeah, FL. Practice services are available at 7590 NW 186TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7590 Nw 186th St

Hialeah, FL 330152952

Telephone 7869536293

Fax 7869536891

Associated Practice Facility / Clinic

🏢 Miracle Rehab Center, Inc Facility NPI 1598045478

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Hialeah, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 35.7 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

115 Specialists

Practicing in Hialeah, FL (2490 Statewide)

Telehealth Adoption Rate

12.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-12-20

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ME65669

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

375873700 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Carlos Maza , APRN

Nurse Practitioner - Gerontology

NPI 1811509961

Advanced Practice Registered Nurse

Damaris Mejias

Nurse Practitioner - Family

NPI 1972218972

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location December 20, 2023

Registered at 7590 NW 186TH ST, HIALEAH, FL 330152952 (Tel: 7869536293)

📍

Updated Business Mailing Address December 20, 2023

Registered at 7590 NW 186TH ST, HIALEAH, FL 330152952 (Tel: 7869536293)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2023

General Practice (License #ME65669 in FL)

✅

NPI Profile Active July 08, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2011

Registered at 705 E 26TH ST, HIALEAH, FL 330133823 (Tel: 3058351551)

📍

Updated Business Mailing Address July 08, 2011

Registered at 705 E 26TH ST, HIALEAH, FL 330133823 (Tel: 3058351551)

👤

Provider Name / Credentials Updated July 08, 2011

Recorded as EDGARDO PENABAD, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2011

Pediatrics (License #ME 65669 in FL)

🟢

Initial NPI Registration & Enumeration September 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063512960

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 22, 2006

Last Update: December 20, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

7590 Nw 186th St

Hialeah, FL 330152952

Phone: 7869536293

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.