KIDZ MEDICAL SERVICES, INC (NPI# 1366408379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366408379 |
| Entity Type | Organization |
| Organization Name | KIDZ MEDICAL SERVICES, INC |
| Practice Address |
5955 Ponce De Leon Blvd Coral Gables FL 33146 |
| Practice Telephone | 3056628668 |
| Practice Fax Number | 3056623723 |
| Mailing Telephone | 3056628668 |
| Mailing Fax Number | 3056623723 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2017-05-03 |
| Authorized Official Name | DR. JORGE E PEREZ (NEONATOLOGIST) |
| Authorized Official Telephone | 3056628668 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207YP0228X |
Otolaryngology Specialization: Pediatric Otolaryngology |
ME53576 | FL | Allopathic & Osteopathic Physicians |
| N | 2080I0007X |
Pediatrics Specialization: Clinical & Laboratory Immunology |
ME20626 | FL | Allopathic & Osteopathic Physicians |
| N | 2080P0008X |
Pediatrics Specialization: Neurodevelopmental Disabilities |
ME53246 | FL | Allopathic & Osteopathic Physicians |
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
ME53246 | FL | Allopathic & Osteopathic Physicians |
| N | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
ME888426 | FL | Allopathic & Osteopathic Physicians |
| N | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
ME 56044 | FL | Allopathic & Osteopathic Physicians |
| N | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
ME58352 | FL | Allopathic & Osteopathic Physicians |
| N | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
ME20626 | FL | Allopathic & Osteopathic Physicians |
| N | 2080P0208X |
Pediatrics Specialization: Pediatric Infectious Diseases |
ME63967 | FL | Allopathic & Osteopathic Physicians |
| N | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
ME 107484 | FL | Allopathic & Osteopathic Physicians |
| N | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
ME53246 | FL | Allopathic & Osteopathic Physicians |
| N | 2080S0012X |
Pediatrics Specialization: Sleep Medicine |
ME53246 | FL | Allopathic & Osteopathic Physicians |
| N | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
ME53246 | FL | Allopathic & Osteopathic Physicians |
| N | 2088P0231X |
Urology Specialization: Pediatric Urology |
ME120545 | FL | Allopathic & Osteopathic Physicians |
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
ME53246 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 257 829 800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689114480 | Kidz Medical Services, Inc | Pediatrics | 3000 Sw 148th Ave, Suite 112, Miramar, FL 33027-4181 | 2017-02-28 |
| 1306381934 | Kidz Medical Services, Inc | Otolaryngology | 14421 Metropolis Ave, Suite 103, Fort Myers, FL 33912-4323 | 2017-01-06 |
| 1730637927 | Kidz Medical Services, Inc | Pediatrics | 6200 Sunset Dr Ste 303, South Miami, FL 33143-4829 | 2016-09-15 |
| 1710337480 | Kidz Medical Services, Inc | Family Medicine | 2600 Immokalee Rd, Naples, FL 34110-1424 | 2016-06-14 |
| 1255789137 | Kidz Medical Services, Inc | Pediatrics | 3400 Burns Rd, Suite 200, Palm Beach Gardens, FL 33410-4325 | 2016-06-01 |
| 1134576994 | Kidz Medical Services, Inc | Pediatrics | 7100 W 20th Ave, Suite 616, Hialeah, FL 33016-1897 | 2016-05-20 |
| Street Address |
5955 PONCE DE LEON BLVD |
| City | CORAL GABLES |
| State | FL |
| Zip Code | 33146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740282359 | John Herbert Kaelber | Obstetrics & Gynecology | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146 | 2005-08-12 |
| 1083242457 | Tatjana Velikopoljski | Physician Assistant | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146-2423 | 2020-03-31 |
| 1336782143 | Christina Lynn Smith | Emergency Medicine | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146-2423 | 2019-10-24 |
| 1710531231 | Stephanie Cernuto | Physician Assistant | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146-2423 | 2019-08-01 |
| 1659836146 | Claudia M Saldana | Nurse Practitioner | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146-2423 | 2019-02-08 |
| 1568968667 | Adianet Perez | Nurse Practitioner | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146-2423 | 2018-04-05 |
| 1801398243 | Maylin Garcia | Nurse Practitioner | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146-2423 | 2018-03-01 |
| 1548761059 | Kristen G. Williams | Physician Assistant | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146-2423 | 2018-02-21 |
| 1518465772 | Charlene A Wilson | Physician Assistant | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146-2423 | 2018-01-23 |
| 1508372954 | South Florida Pediatric Multi Specialty | Pediatrics | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146-2423 | 2017-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932751427 | Megan Gabrielle Mcleod | Dietitian, Registered | 5821 San Amaro Drive, Coral Gables, FL 33146 | 2019-07-15 |
| 1225596919 | Cami Cyan Marshall | Specialist/Technologist | Knight Sports Complex, 5821 San Amaro Drive, Coral Gables, FL 33146 | 2019-03-12 |
| 1225596224 | Daniel Rodriguez | Specialist/Technologist | Knight Sport Complex, 5821 San Amaro Dr, Coral Gables, FL 33146 | 2019-03-08 |
| 1134687122 | Nicholas Rice | Specialist/Technologist | Knight Sports Complex, 5821 San Amaro Dr, Coral Gables, FL 33146 | 2019-03-08 |
| 1396222436 | Julienne Cave | Nurse Practitioner | 4425 Ponce De Leon Blvd Ste 200, Coral Gables, FL 33146 | 2018-07-22 |
| 1891245379 | Michelle Marie Penaranda | Nurse Practitioner | 1299 Theo Dickinson Dr, Coral Gables, FL 33146 | 2016-10-10 |
| 1629526116 | Joanna Vidal | Developmental Therapist | 1550 S Dixie Highway, Suite 203, Coral Gables, FL 33146 | 2016-09-14 |
| 1801265970 | Borinquen Health Care Center Inc | Clinic/Center | 5801 Augusto Street, Ponce De Leon Middle, Coral Gables, FL 33146 | 2015-09-18 |
| 1962898106 | Kshitij Manchanda | Orthopaedic Surgery | 1150 Campo Sano Ave, 2nd Floor, Attn: Maria Claudia Corrandine, Coral Gables, FL 33146 | 2015-04-14 |
| 1437584455 | Amanda C Pina | Occupational Therapist | 3150 Sw 38 Avenue, Suite. 600, Miami, FL 33146 | 2013-09-10 |
| Find all providers in zip 33146 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356535751 | Kanchan Mishra | Pediatrics | 5955 Ponce De Len Blvd, Coral Gables, FL 33146 | 2007-08-29 |
| 1366561847 | Maria Daniela Bianco-batlles | Pediatrics | 215 Grand Avenue, Coral Gables, FL 33133 | 2007-03-28 |
| 1730171729 | Jaideep Gupta | Pediatrics | 215 Grand Ave, Coral Gables, FL 33133-4841 | 2005-08-17 |
| 1073923678 | Salma Asad | Pediatrics | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146 | 2014-05-05 |
| 1134482441 | Dario Antonio Vallarino De Sanctis | Pediatrics | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146-2423 | 2012-06-21 |
| 1245506161 | Joseph Mariduena | Pediatrics | 215 Grand Ave, Coral Gables, FL 33133-4841 | 2012-03-25 |
| 1467722934 | Sravanti Kurada | Pediatrics | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146 | 2011-12-30 |
| 1700164670 | Maria Del Mar Plata | Pediatrics | 215 Grand Ave, Coral Gables, FL 33133-4841 | 2011-07-26 |
| 1144514738 | Luz Marcela Merchan | Pediatrics | 215 Grand Ave, Coral Gables, FL 33133-4841 | 2011-06-01 |
| 1679885131 | Vanessa Victoria Celleri Gomezcoello | Pediatrics | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146 | 2010-07-12 |
| Find all providers in CORAL GABLES | ||||
| City | CORAL GABLES |
| Zip Code | 33146 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.