Healthcare Provider Details

I. General information

NPI: 1750227815
Provider Name (Legal Business Name): BRIGHT STARS PEDIATRIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1022 E 8TH AVE
HIALEAH FL
33010-3755
US

IV. Provider business mailing address

1022 E 8TH AVE
HIALEAH FL
33010-3755
US

V. Phone/Fax

Practice location:
  • Phone: 786-615-7829
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM3000X
TaxonomyMedically Fragile Infants and Children Day Care
License Number
License Number State

VIII. Authorized Official

Name: MARTHA ALVAREZ
Title or Position: ADMIN
Credential:
Phone: 786-615-7829