Active NPI
Roverto Varela, M.D.
- Pediatrics Physician
- Pembroke Pines, FL
National Provider Identifier
1033300033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 3960
- Practice address
- 1278 NW 192ND Ter
Pembroke Pines, FL 33029-4511 - Phone
- (954) 436-1171
- NPI assigned
- Aug 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 3960 | PR | Primary |
Addresses
Primary practice location
1278 NW 192ND Ter
Pembroke Pines, FL 33029-4511
Mailing address
1278 NW 192ND Ter
Pembroke Pines, FL 33029-4511
Phone (954) 436-1171
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3960 | PR | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186272000000",
"number": "1033300033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1278 NW 192ND TER",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330294511",
"telephone_number": "954-436-1171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1278 NW 192ND TER",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330294511",
"telephone_number": "954-436-1171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARELA",
"first_name": "ROVERTO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-05",
"last_updated": "2007-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "3960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.