KIDZ MEDICAL SERVICES (NPI# 1699909341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699909341 |
| Entity Type | Organization |
| Organization Name | KIDZ MEDICAL SERVICES |
| Other Organization Name | KMS - PEDIATRICS |
| Practice Address |
5955 Ponce De Leon Blvd Coral Gables FL 33146-2423 |
| Practice Telephone | 3056611515 |
| Practice Fax Number | 3056623723 |
| Mailing Telephone | 3056611515 |
| Mailing Fax Number | 3056623712 |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2019-02-04 |
| Authorized Official Name | JORGE E PEREZ (PARTNER) |
| Authorized Official Telephone | 3056611515 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080P0008X |
Pediatrics Specialization: Neurodevelopmental Disabilities |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
ME 53246 | FL | Allopathic & Osteopathic Physicians |
| N | 2080S0012X |
Pediatrics Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 372 652 500 | 05 |
| Other Name | Type Code |
|---|---|
| Kidz Pediatric Multispecialty Group | Doing Business As Name - Organization |
| KMS - Pediatrics | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154694016 | Kidz Medical Services | Pediatrics | 5325 Greenwood Ave Ste 202, West Palm Beach, FL 33407-2452 | 2012-02-22 |
| 1144537077 | Kidz Medical Services | Pediatrics | 6280 Sw 72nd St Ste 607, South Miami, FL 33143-4875 | 2010-09-14 |
| 1235604307 | Kidz Medical Services | Pediatrics | 10521 Sw Village Center Dr, Port St Lucie, FL 34987-1930 | 2018-10-04 |
| 1902329907 | Kidz Medical Services | Pediatrics | 6200 Sunset Dr Ste 303, South Miami, FL 33143-4829 | 2017-07-21 |
| 1881047314 | Kidz Medical Services | Pediatrics | 9980 Central Park Blvd N, Suite 318, Boca Raton, FL 33428-1762 | 2016-07-20 |
| 1710337498 | Kidz Medical Services | Psychiatry & Neurology | 9980 Central Park Blvd N, Suite 122, Boca Raton, FL 33428-1762 | 2016-06-14 |
| 1700235637 | Kidz Medical Services | Pediatrics | 927 45th St Ste 206, Mangonia Park, FL 33407-2450 | 2016-06-10 |
| 1457709511 | Kidz Medical Services | Pediatrics | 5325 Greenwood Ave, Suite 202, West Palm Beach, FL 33407-2452 | 2016-05-31 |
| 1699123695 | Kidz Medical Services | Pediatrics | 9980 Central Park Blvd N, Suite 206, Boca Raton, FL 33428-1762 | 2016-05-31 |
| 1912355371 | Kidz Medical Services | Pediatrics | 975 Baptist Way, Suite 2025, Homestead, FL 33033-7600 | 2016-05-26 |
| Street Address |
5955 PONCE DE LEON BLVD |
| City | CORAL GABLES |
| State | FL |
| Zip Code | 33146-2423 |
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1366814568 | Gloria Lopez Md Pa | Pediatrics | 747 Ponce De Leon Blvd Ste 603, Coral Gables, FL 33134-2074 | 2015-10-27 |
| 1770963399 | Sarah Marie Selem | Pediatrics | 6920 Nervia St, Coral Gables, FL 33146-3615 | 2015-06-09 |
| 1134535198 | Ileana Fuentes Md, Pa | Pediatrics | 4343 W Flagler St Ste 210, Coral Gables, FL 33134-1586 | 2014-07-10 |
| 1942559398 | Gabriela Maria Saca | Pediatrics | 358 San Lorenzo Ave Ste 3230, Coral Gables, FL 33146-1448 | 2012-08-30 |
| 1245413905 | Lazaro Fraga Md Pa | Pediatrics | 4131 Sw 6th St, Coral Gables, FL 33134-2057 | 2007-12-17 |
| 1174682090 | Lazaro D Nunez | Pediatrics | 5521 Sw 8th St, Coral Gables, FL 33134-2219 | 2006-12-06 |
| 1578652954 | Dario D Lirman | Pediatrics | 1567 San Remo Ave, Coral Gables, FL 33146-3008 | 2006-10-12 |
| 1194811158 | Thesalee Nicola Randon | Pediatrics | 5955 Pouce De Leon Blvd., Coral Gables, FL 33146 | 2006-10-05 |
| 1285732164 | Gonzalo De Quesada | Pediatrics | South Dade Neonatology, 215 Grand Avenue, Coral Gables, FL 33133-4841 | 2006-09-21 |
| 1558469445 | Pedro Lopez | Pediatrics | 3311 Ponce De Leon Blvd, Coral Gables, FL 33134-7210 | 2006-09-21 |
| 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.