PEDIATRIC CONSULTANTS OF KENDALL, P.A. (NPI# 1952458085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952458085 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC CONSULTANTS OF KENDALL, P.A. |
| Practice Address |
11880 Sw 40th St Suite # 305 Miami FL 33175-3584 |
| Mailing Address |
Po Box 652638 Miami FL 33265-2638 |
| Practice Telephone | 3052233131 |
| Practice Fax Number | 3055533888 |
| Mailing Telephone | 3052233131 |
| Mailing Fax Number | 3055533888 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MARVIN J. RIOS (PRESIDENT) |
| Authorized Official Telephone | 3052233131 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
11880 SW 40TH ST SUITE # 305 |
| City | MIAMI |
| State | FL |
| Zip Code | 33175-3584 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023005204 | Francisco Miranda | Internal Medicine | 11880 Sw 40th St, Ste 401, Miami, FL 33175-3584 | 2005-10-03 |
| 1477009819 | Vannette Guerra Dds, Pa | Dentist | 11880 Sw 40th St, Suite 302, Miami, FL 33175-3584 | 2016-08-26 |
| 1144691858 | Gateway Dental Kendall Inc | Dentist | 11880 Sw 40th St, Suite 215, Miami, FL 33175-3584 | 2015-10-08 |
| 1760868863 | Gateway Dental Inc | Dentist | 11880 Sw 40th St, Suite 215, Miami, FL 33175-3584 | 2015-07-31 |
| 1063895662 | West Kendall Dental Associates Inc. | Dentist | 11880 Sw 40th St, Suite 302, Miami, FL 33175-3584 | 2015-07-01 |
| 1417363185 | Juan M Gutierrez Md Pa | Clinic/Center | 11880 Sw 40th St, Suite 404, Miami, FL 33175-3584 | 2014-07-02 |
| 1093152027 | Vasconcello-cohen M.d Pa | Pediatrics | 11880 Sw 40th St, Suite 216, Miami, FL 33175-3584 | 2013-05-31 |
| 1942575030 | Nelson R Herrero Md. Pa | Internal Medicine | 11880 Sw 40th St, Suite 113, Miami, FL 33175-3584 | 2012-03-21 |
| 1073806204 | Jorge De La Portilla Pa | Surgery | 11880 Sw 40th St, 420, Miami, FL 33175-3584 | 2011-05-20 |
| 1467762534 | Sonia Tolgyesi, Pa | Psychiatry & Neurology | 11880 Sw 40th St, Suite 405, Miami, FL 33175-3584 | 2010-10-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885965 | Kevin Bernardo Gonzalez | Behavior Technician | 11895 Sw 37 St, Miami, FL 33175 | 2020-06-11 |
| 1619509106 | Gladysbel Lorenzo | Nurse Practitioner | 11740 Sw 42st, Miami, FL 33175 | 2020-02-12 |
| 1154885200 | Vanessa Arzola Dmd Pa and Associates | Clinic/Center | 13419 Sw 56th Street, Miami, Miami, FL 33175 | 2019-01-23 |
| 1588145932 | Mailen Gonzalez | Nurse Practitioner | 12294 Sw 29 Ter, Miami, FL 33175 | 2018-08-23 |
| 1639655350 | Carolina Marie Trueba | Behavior Technician | 12825 Sw 49th Terr, Miami, FL 33175 | 2018-07-16 |
| 1033611504 | Joan Coro | Behavior Technician | 12905 Sw 42nd St Suite 219, Miami, FL 33175 | 2018-03-01 |
| 1417456864 | Ignacio Alzugaray | Nurse Practitioner | 12317 Sw 20th Ter, Miami, FL 33175 | 2018-02-12 |
| 1215436993 | Desiree Rengifo-glasgow | Nurse Practitioner | 11865 Sw 26th St Ste J2, Miami, FL 33175 | 2018-02-07 |
| 1639678691 | Behavior Professional Consultants Corp. | Community/Behavioral Health | 2460 Sw 137th Ave 242, Miami, FL 33175 | 2018-02-06 |
| 1992204291 | Humberto Lorenzo Paez | Nurse Practitioner | 4205 Sw 136th Place, Miami, FL 33175 | 2018-02-02 |
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| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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 |
|---|---|---|---|---|
| 1710330923 | Juan Ruiz-unger Md Pa | Pediatrics | 8900 Sw 24th St Ste 204, Miami, FL 33165-2075 | 2016-07-22 |
| 1689064750 | Hilda Tejero | Pediatrics | 9495 Sunset Dr Ste B190, Miami, FL 33173-5419 | 2015-01-28 |
| 1043337033 | Saara Schwartz | Pediatrics | Fiu-university Health Services, 11200 Sw 8th St, Miami, FL 33199-0001 | 2007-03-23 |
| 1760506752 | Cristykids Pediatrics | Pediatrics | 8496 Sw 8th St, Miami, FL 33144-4153 | 2007-03-17 |
| 1346374212 | Isidro A Lopez | Pediatrics | 1495 Nw 20th St, Miami, FL 33142-7723 | 2007-03-15 |
| 1235260761 | South Miami Pediatries | Pediatrics | 9745 Sw 184th St, Miami, FL 33157-6932 | 2007-03-08 |
| 1942286778 | Diana E Vargas | Pediatrics | 10250 Sw 56th St, Ste. B-103, Miami, FL 33165-7069 | 2005-12-22 |
| 1720077308 | Guillermo Juan Llosa | Pediatrics | 11400 N Kendall Dr, Suite A211, Miami, FL 33176-1029 | 2005-10-17 |
| 1912993312 | Ana Roig-cantisano | Pediatrics | 9220 Sw 72nd St, Suite 102, Miami, FL 33173-3259 | 2005-09-21 |
| 1679006761 | Alvarez Diaz Pediatrics Corp | Pediatrics | 7235 Coral Way Ste 214, Miami, FL 33155-1452 | 2017-04-06 |
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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.