Active NPI
Rube J Pardo, M.D.
- Dermatology Physician
- Coral Gables, FL
National Provider Identifier
1013962851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- ME54683
- Practice address
- 1828 Ponce de Leon Blvd
Coral Gables, FL 33134 - Phone
- (305) 448-5795
- Fax
- (305) 448-5795
- NPI assigned
- May 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | ME54683 | FL | Primary |
Addresses
Primary practice location
1828 Ponce de Leon Blvd
Coral Gables, FL 33134
Mailing address
P.O. Box 144117
Coral Gables, FL 33114
Phone (305) 448-5795
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110713000401 | FL | Practitioner - Dermatology | 9436185261 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME54683 | FL | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Miami | Current | Accepting new patients | |
| University of Miami | Current | Accepting new patients |
Locations
1828 Ponce de Leon Blvd
Coral Gables, FL 33134
Phone (305) 448-5795
1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226
1611 NW 12th Ave
#E
Miami, FL 33136
1475 NW 12th Ave
#2
Miami, FL 33136
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Miami Beach, FL
- NPI 1124768627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575244800000",
"number": "1013962851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 144117",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "33114",
"telephone_number": "305-448-5795",
"fax_number": "305-444-6081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1828 PONCE DE LEON BLVD",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "33134",
"telephone_number": "305-448-5795",
"fax_number": "305-448-5795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARDO",
"first_name": "RUBE",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2019-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "ME54683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.