JUDITH PARDO


Address: 1611 Nw 12th Ave, Miami, FL 33136-1005
Phone: 3055855993

JUDITH PARDO (NPI# 1124064464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124064464
Entity Type Individual
Full Name JUDITH PARDO
Credential M.D.
Practice Address 1611 Nw 12th Ave
Miami
FL 33136-1005
Practice Telephone 3055855993
Mailing Telephone 3055855993
Enumeration Date 2006-06-22
Last Update Date 2013-02-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology ME0044793 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 2698676-00 05

Office Location

Street Address 1611 NW 12TH AVE
City MIAMI
State FL
Zip Code 33136-1005

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740286251 Karen Chitty Emergency Medicine 1611 Nw 12th Ave, Miami, FL 33136-1005 2005-06-21
1558968263 Natalie Dinger Nurse Practitioner 1611 Nw 12th Ave, Miami, FL 33136-1096 2020-10-06
1306452057 Ryan M Bukhari Dentist 1611 Nw 12th Ave, Miami, FL 33136-1096 2020-09-18
1467068155 Hussien Touny Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1096 2020-09-18
1912512310 Clementina Aurora Cabrera Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1005 2020-09-11
1184237265 Kencya Toussaint Nurse Practitioner 1611 Nw 12th Ave, Miami, FL 33136-1096 2020-08-28
1568075976 Manuel Molina Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1005 2020-08-25
1063025468 Carlos Federico Moral Ortega Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1096 2020-08-25
1770195919 Ezekiel Oluwasayo Ijaopo Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1005 2020-08-19
1568070258 Virosh Dharmadasa Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1005 2020-07-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548875685 Agustina Dirocco Registered Nurse 1611 Ne 12th Ave, Miami, FL 33136 2020-09-15
1093338451 Krizia Amy Vinck Clinical Neuropsychologist 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 2020-05-20
1992327761 Jorge Luis Cardenas Alvarez Student in an Organized Health Care Education/Training Program 1611 Nw 12 Avenue Central Room 600-d, Miami, FL 33136 2020-05-14
1104447036 Denver Steven Pinto Student in an Organized Health Care Education/Training Program 1611 Nw 12 Avenue Jackson Memorial Hospital, West Wing 279 Emergency Radiology, Miami, FL 33136 2020-05-01
1992325724 Dimple Kumar Chanamolu Student in an Organized Health Care Education/Training Program Deptarment of Urology University of Miama Miller School, Crb 1120 Nw 14th Street Suite 1551c, Miami, FL 33136 2020-04-22
1578100996 Alex Aziz Al Khoury Internal Medicine 1120 Nw 14th St. Suite 1112, Miami, FL 33136 2019-12-04
1437708872 Marie Jeanjean Genetic Counselor, MS 1501 Nw 10th Avenue, Brb 334 (m860), Miami, FL 33136 2019-09-09
1710543905 Tal Friehmann Student in an Organized Health Care Education/Training Program Jackson Memorial Hospital, Breast Imaging Dep, 1611 Nw 12 Avenue, Miami, FL 33136 2019-05-14
1285297895 Omar Munoz Student in an Organized Health Care Education/Training Program 1611 Nw 12th Av., Psychiatry Department, Miami, FL 33136 2019-04-18
1902369648 Seyedeh Haleh Amirian Student in an Organized Health Care Education/Training Program 1611 12th Avenue, Holtz Buiding, East Tower, 2169, Miami, FL 33136 2019-04-10
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689282162 Healing Hands Healthcare Services, LLC Obstetrics & Gynecology 1900 N Bayshore Dr Apt 2411, Miami, FL 33132-3012 2020-07-21
1376182329 Moment Health Care Inc Obstetrics & Gynecology 6464 N Miami Ave, Miami, FL 33150-4520 2019-12-21
1801341383 Franklin Benedict Colon Torres Obstetrics & Gynecology 125 Ne 32nd St Apt 1202, Miami, FL 33137-4325 2016-08-24
1265881171 Jaime Dickerson Obstetrics & Gynecology 1150 Nw 14th St Fl 5, Miami, FL 33136-2137 2016-06-10
1457713158 Antonia Zecevic Obstetrics & Gynecology 1120 Nw 14th St Ste 1159, Miami, FL 33136-2107 2016-03-22
1659767846 Alison Simone Coll Obstetrics & Gynecology 8950 Sw 74th Ct Ste 2001, Miami, FL 33156-3179 2015-04-14
1336534304 Jessica Alvarez Obstetrics & Gynecology 8940 N Kendall Dr Ste 804e, Miami, FL 33176 2015-04-06
1104210038 Shlomo Tendler Obstetrics & Gynecology 4308 Alton Rd Ste 790, Miami, FL 33140-4558 2015-03-28
1497149777 Lydia Ann Fein Obstetrics & Gynecology 1321 Nw 14th St Ste 201, Miami, FL 33125-1653 2015-03-24
1972994143 Manuel S. Mendizabal, Md, LLC Obstetrics & Gynecology 7090 Sw 54th St, Miami, FL 33155-5644 2015-02-10
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City MIAMI
Zip Code 33136

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Dataset Information

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.

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