Organization Active NPI

Pedro J Greer MD & Associates PA

  • Specialist
  • Miami, FL
National Provider Identifier
1093900417
Registry record updated Nov 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0047468 Issued in FL
Legal business name
PEDRO J GREER MD & ASSOCIATES PA
Practice address
3661 S Miami Ave
Suite 805
Miami, FL 33133-4236
Phone
(305) 856-7333
Fax
(305) 856-8030
NPI assigned
Sep 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2010

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

Authorized official

Name
Dr. Pedro Jose Greer Jr, MD
Title
President
Phone
(305) 856-1541

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X ME0047468 FL Primary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X ME0087519 FL

Addresses

Primary practice location

3661 S Miami Ave
Suite 805
Miami, FL 33133-4236

Mailing address

3661 S Miami Ave
Suite 805
Miami, FL 33133-4236
Phone (305) 856-7333

Other identifiers 2

IdentifierTypeStateIssuer
267018600MedicaidFL
062810701MedicaidFL

National Provider Directory

National Provider Directory

Locations

3661 S Miami Ave
Ste 805
Miami, FL 33133
Phone (305) 324-4126

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290988800000",
    "number": "1093900417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3661 S MIAMI AVE",
            "address_2": "SUITE 805",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334236",
            "telephone_number": "305-856-7333",
            "fax_number": "305-856-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 S MIAMI AVE",
            "address_2": "SUITE 805",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334236",
            "telephone_number": "305-856-7333",
            "fax_number": "305-856-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDRO J GREER MD & ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2010-11-29",
        "status": "A",
        "authorized_official_last_name": "GREER JR",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-856-1541",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0047468",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0087519",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267018600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062810701",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; 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.