Organization Active NPI

Norberto Pedroso MD PA

  • Family Medicine Physician
  • Miramar, FL
National Provider Identifier
1073789491
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME 100918 Issued in FL
Legal business name
NORBERTO PEDROSO MD PA
Practice address
5078 SW 168TH Ave
Miramar, FL 33027-4914
Phone
(305) 458-5612
NPI assigned
May 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Norberto Jesus Pedroso Montesino, MD
Title
Owner
Phone
(305) 458-5612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME 100918 FL Primary

Addresses

Primary practice location

5078 SW 168TH Ave
Miramar, FL 33027-4914

Mailing address

5078 SW 168TH Ave
Miramar, FL 33027-4914
Phone (305) 458-5612

National Provider Directory

National Provider Directory

Locations

2261 N University Dr
Ste 101
Pembroke Pines, FL 33024
Phone (954) 322-8985

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1073789491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5078 SW 168TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274914",
            "telephone_number": "305-458-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5078 SW 168TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274914",
            "telephone_number": "305-458-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORBERTO PEDROSO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "PEDROSO MONTESINO",
        "authorized_official_first_name": "NORBERTO",
        "authorized_official_middle_name": "JESUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-458-5612",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 100918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.