NPIMap

Organization Active NPI

Rube J Pardo MD PHD PA

  • Dermatology Physician
  • Coral Gables, FL
National Provider Identifier
1104882257
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME 54683 Issued in FL
Legal business name
RUBE J PARDO MD PHD PA
Practice address
1828 Ponce de Leon Blvd
Coral Gables, FL 33134
Phone
(305) 448-5795
Fax
(305) 444-6081
NPI assigned
Apr 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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

Authorized official

Name
Dr. Rube J Pardo, MD PHD
Title
Physician Owner
Phone
(305) 448-5795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X ME 54683 FL Primary

Addresses

Primary practice location

1828 Ponce de Leon Blvd
Coral Gables, FL 33134

Mailing address

PO Box 144117
Coral Gables, FL 33114-4117
Phone (305) 448-5795

National Provider Directory

National Provider Directory

Locations

1828 Ponce de Leon Blvd
Fl 1
Coral Gables, FL 33134

Practitioners & affiliated clinicians

Practitioners 5

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": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1104882257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 144117",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331144117",
            "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": "305-444-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBE J PARDO MD PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "PARDO",
        "authorized_official_first_name": "RUBE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "305-448-5795",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PHD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME 54683",
            "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 Oct 29, 2014; 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.