Miami Lakes Pediatrics PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MIAMI LAKES PEDIATRICS PLLC

Practice address

1199 W Flagler St Ste 10
Miami, FL 33130-1055

Phone

(305) 326-8887

NPI assigned

Jan 9, 2021

Organization subpart

Yes

Parent organization

MIAMI LAKES PEDIATRICS PLLCAs reported in NPPES

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

Authorized official

Name

Cristina Alfonso

Title

Practice Administrator

Phone

(305) 823-7768

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Miami Lakes Pediatrics PLLC3 organizations share this tax ID, including this one

Part of

Miami Lakes Pediatrics PLLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Miami Lakes Pediatrics PLLC

  • Pediatrics Physician
  • Loxahatchee, FL
  • NPI 1366030835
  NPD tax ID
• Miami Lakes Pediatrics PLLC

  • Pediatrics Physician
  • Miami Lakes, FL
  • NPI 1861059248
  NPD tax ID

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19861/brand/1/csg/1/fhir/r4

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Miami Lakes Pediatrics PLLC

  • Pediatrics Physician
  • Miami Lakes, FL
  • NPI 1861059248
  NPPES parent name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gerardo Felix Capote Duenas, MD

  • Pediatrics Physician
  • Miami, FL
  • NPI 1225234834
  NPD
• Mayra Capote, MD

  • Pediatrics Physician
  • Miami Lakes, FL
  • NPI 1972573319
  NPD (past)
• Caroll Virginia Sengelmann, PA

  • Physician Assistant
  • Miami Lakes, FL
  • NPI 1659630143
  NPD (past)

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

{
    "created_epoch": "1610150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610150400000",
    "number": "1083202550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14400 NW 77TH CT STE 102",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161590",
            "telephone_number": "305-823-7768",
            "fax_number": "305-823-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 W FLAGLER ST STE 10",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331301055",
            "telephone_number": "305-326-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI LAKES PEDIATRICS PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIAMI LAKES PEDIATRICS PLLC",
        "enumeration_date": "2021-01-09",
        "last_updated": "2021-01-09",
        "certification_date": "2021-01-09",
        "status": "A",
        "authorized_official_last_name": "ALFONSO",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "305-823-7768"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103180601",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miami Jewish Home Health Agency, Inc.
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• Miami Kendall FL Endoscopy ASC LLC
• Miami Kids Behavioral Center, Inc
• Miami Kids Home Health Care LLC
• Miami Laser Vision P.a.
• Miami Lice LLC (Lice Clinics of America Miami)
• Miami Lighthouse for the Blind and Visually Impaired, Inc.
• Miami Med DME Inc
• Miami Med Group Inc

• Pediatrics Physician in Miami, FL
• Providers in Miami, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2021; 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.