PEDIATRIC SPECIALTY GROUP, INC (NPI# 1013456144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013456144 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC SPECIALTY GROUP, INC |
| Other Organization Name | PEDIATRIC SPECIALISTS OF AMERICA- NEONATOLOGY |
| Practice Address |
3100 Sw 62nd Ave Suite- 4 Tower Nicu Miami FL 33155-3009 |
| Mailing Address |
Po Box 865095 Orlando FL 32886-5095 |
| Practice Telephone | 3056666511 |
| Mailing Telephone | 7866245712 |
| Mailing Fax Number | 3056688059 |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2017-02-28 |
| Authorized Official Name | REBECCA FRANCE (ADMINISTRATIVE DIRECTOR, RCM) |
| Authorized Official Telephone | 7866245876 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Pediatric Specialists of America- Neonatology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013577246 | Pediatric Specialty Group, Inc | Pediatrics | 4410 W 16th Ave Ste 60, Hialeah, FL 33012-7194 | 2019-06-19 |
| 1598229890 | Pediatric Specialty Group, Inc | Pediatrics | 3228 Sw Martin Downs Blvd, Palm City, FL 34990-2679 | 2019-01-31 |
| 1679037790 | Pediatric Specialty Group, Inc | Pediatrics | 3445 Nw 7th St, Miami, FL 33125-4013 | 2019-01-23 |
| 1003306093 | Pediatric Specialty Group, Inc | Neurological Surgery | 6370 N State Road 7 Ste 100, Coconut Creek, FL 33073 | 2018-05-15 |
| Street Address |
3100 SW 62ND AVE SUITE- 4 TOWER NICU |
| City | MIAMI |
| State | FL |
| Zip Code | 33155-3009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104824077 | Rene Luis Lopez-guerrero | Pediatrics | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2005-07-13 |
| 1598366239 | Alejandra Margarita Patterson | Registered Nurse | 3100 Sw 62nd Ave, Suite 108 Center for Spinal Disorders, Miami, FL 33155 | 2020-11-07 |
| 1093315947 | Mailys Santoro | Nurse Practitioner | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2020-10-29 |
| 1174121289 | Lilia M Mendoza | Family Medicine | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2020-10-12 |
| 1932707007 | Brian Ruiz | Nurse Practitioner | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2020-10-12 |
| 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 |
| 1568075372 | Nancy Pierre | Nurse Practitioner | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2020-08-31 |
| 1841803335 | Dicle Yasar Aksoyler | Student in an Organized Health Care Education/Training Program | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2020-08-25 |
| 1154932952 | Veronica A Quintanar Sanabria | Nurse Practitioner | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2020-08-14 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1548561186 | Juan Miguel Fuentes Guerra | Pediatrics | 7800 Sw 21st St, Miami, FL 33155-6510 | 2010-11-13 |
| 1104876382 | University of Miami | Pediatrics | 1201 Nw 12th Ave, Box 016960 M851, Miami, FL 33136-2140 | 2006-05-11 |
| 1508103755 | Msmc Neonatology, LLC | Pediatrics | 4300 Alton Rd, Blum Building, Third Floor, Miami, FL 33140-2948 | 2013-01-08 |
| 1598056194 | Merline Kocheekkaran Veettil Benny | Pediatrics | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2011-04-29 |
| 1649503582 | Tania Dayane Fontanez-nieves | Pediatrics | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2009-09-10 |
| 1194740357 | Saima Aftab | Pediatrics | 3100 Sw 62 Avenue, Nicklaus Children's Hospital, Miami, FL 33155-3009 | 2006-07-12 |
| 1518992486 | Karen C Young | Pediatrics | 1601 Nw 12th Ave, Miami, FL 33101-6960 | 2006-07-11 |
| 1982650081 | Jose Tolosa | Pediatrics | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2006-05-26 |
| 1144271537 | University of Miami | Pediatrics | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2006-05-12 |
| 1609826122 | University of Miami | Pediatrics | 1601 Nw 12th Ave, Box 016960 M851, Miami, FL 33136-1005 | 2006-05-12 |
| Find all providers in MIAMI | ||||
Please comment or provide details below to improve the information on PEDIATRIC SPECIALTY GROUP, INC.
| 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.