PEDIATRIC SPECIALTY GROUP, INC. (NPI# 1891249371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891249371 |
Entity Type | Organization |
Organization Name | PEDIATRIC SPECIALTY GROUP, INC. |
Other Organization Name | PEDIATRIC SPECIALISTS OF AMERICA - ENDOCRINOLOGY |
Practice Address |
3100 Sw 62nd Ave Ste 102 Miami FL 33155 |
Mailing Address |
Po Box 865095 Orlando FL 32886-5095 |
Practice Telephone | 7866245876 |
Practice Fax Number | 7866242688 |
Mailing Telephone | 7866245876 |
Mailing Fax Number | 7866242688 |
Enumeration Date | 2016-08-12 |
Last Update Date | 2018-06-15 |
Authorized Official Name | ELIZABETH MENOCAL (AUTHORIZED OFFICIAL) |
Authorized Official Telephone | 3056628357 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 013515205 | 05 |
Other Name | Type Code |
---|---|
Pediatric Specialists of America - Endocrinology | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316589914 | Pediatric Specialty Group, Inc. | Pediatrics | 9750 Nw 33rd St Ste 109, Coral Springs, FL 33065-4000 | 2019-10-15 |
1457965345 | Pediatric Specialty Group, Inc. | Pediatrics | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2020-09-08 |
1306459177 | Pediatric Specialty Group, Inc. | Pediatrics | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2020-08-31 |
1235774852 | Pediatric Specialty Group, Inc. | Pediatrics | 3100 Sw 62nd Ave, 1st Floor, Trauma Unit, Miami, FL 33155-3009 | 2019-11-07 |
1124553656 | Pediatric Specialty Group, Inc. | Pediatrics | 3100 Sw 62nd Ave, Apcp- 6 Tower, Suite 6226, Miami, FL 33155-3009 | 2017-04-21 |
1881128171 | Pediatric Specialty Group, Inc. | Pediatrics | 3100 Sw 62nd Ave, Palliative Care Medicine- 3rd Floor- Suite 6-74, Miami, FL 33155 | 2017-04-13 |
1194277756 | Pediatric Specialty Group, Inc. | Psychologist | 3100 Sw 62nd Ave, Department of Psychology, Miami, FL 33155-3009 | 2016-10-31 |
1528512001 | Pediatric Specialty Group, Inc. | Pediatrics | 3100 Sw 62nd Ave, Department of Gastroenterology, Miami, FL 33155 | 2016-08-12 |
1982158820 | Pediatric Specialty Group, Inc. | Ophthalmology | 3100 Sw 62nd Ave, Miami, FL 33155 | 2016-08-09 |
1689128530 | Pediatric Specialty Group, Inc. | Pediatrics | 3100 Sw 62nd Ave, Attention: Physician Rcm @ Blue Lagoon- 8th Floor, Miami, FL 33155-3009 | 2016-08-09 |
Street Address |
3100 SW 62ND AVE STE 102 |
City | MIAMI |
State | FL |
Zip Code | 33155 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518994524 | Adriana A Carrillo Iregui | Pediatrics | 3100 Sw 62nd Ave Ste 102, Miami, FL 33155-3009 | 2006-06-26 |
1508223439 | Monica Grimaldi | Dietitian, Registered | 3100 Sw 62nd Ave Ste 102, Miami, FL 33155-3009 | 2016-01-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659987121 | Blanca Argentina Torres | Speech-Language Pathologist | 6840 Bird Rd Unit 211a, Miami, FL 33155 | 2020-09-21 |
1245888585 | Mila De La Caridad Broche Coego | Behavior Technician | 2247 Sw 68th Ct, Miami, FL 33155 | 2019-08-29 |
1265087878 | Nancy Acela Denis | Nurse Practitioner | 6791 Sw 25 Terra, Miami, FL 33155 | 2019-08-09 |
1700366887 | Aly Hashim | Family Medicine | 2805 Sw 75th Avenue, Miami, FL 33155 | 2018-08-17 |
1184115362 | Ready 2 Transfer, Inc. | Non-emergency Medical Transport (VAN) | 7811 Sw 24 Street #120, Miami, FL 33155 | 2018-05-23 |
1053808030 | Idalmis Pimentel Diez | Behavior Technician | 6334 Sw 30th St, Miami, FL 33155 | 2018-04-16 |
1225538689 | L & L Social Services LLC | Case Management | 5950 Sw 40 St, Miami, FL 33155 | 2018-02-12 |
1659888915 | Red Bird Dental Care | Dentist | 5771 Sw 40 St, Miami, FL 33155 | 2018-01-08 |
1043726474 | Jesenia Rodriguez-vila | Nurse Practitioner | 6433 Sw 29th St, Miami, FL 33155 | 2017-12-21 |
1326553736 | Believe Neuro-behavioral Services | Behavioral Analyst | 6700 Sw 38th St, Miami, FL 33155 | 2017-12-07 |
Find all providers in zip 33155 |
Taxonomy Code | 2080P0205X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Endocrinology |
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
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 |
---|---|---|---|---|
1447324744 | Luis E Gonzalez-mendoza | Pediatrics | 3100 Sw 62nd Ave Ste 122, Miami, FL 33155-3009 | 2006-11-20 |
1518994524 | Adriana A Carrillo Iregui | Pediatrics | 3100 Sw 62nd Ave Ste 102, Miami, FL 33155-3009 | 2006-06-26 |
1760739957 | Pedro A Pagan Banchs | Pediatrics | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2012-08-07 |
1700154267 | Monica M Dussan | Pediatrics | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2011-12-12 |
1013159268 | Variety Children's Hospital | Pediatrics | 13400 Sw 120th St, Suite 100, Miami, FL 33186-7440 | 2009-04-02 |
1275775702 | Variety Children's Hospital | Pediatrics | 9260 Sw 72nd St, Suite 217, Miami, FL 33173-3275 | 2009-03-30 |
1245472190 | Joshua William Tarkoff | Pediatrics | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2009-03-24 |
1003081100 | Supamit Ukarapong | Pediatrics | 1475 Nw 12th Ave, Miami, FL 33136-1002 | 2008-04-29 |
1972635183 | Variety Children's Hospital | Pediatrics | 3100 Sw 62nd Ave, Suite 3 Ne, Miami, FL 33155-3009 | 2007-03-12 |
1083757249 | Jose E. Perez-rodriguez | Pediatrics | 7000 Sw 97th Ave, Suite 104, Miami, FL 33173-1494 | 2007-02-15 |
Find all providers in MIAMI |
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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.