Organization Active NPI

Lilianne Sobrado M D P a

  • Medical Specialty Clinic/Center
  • Miami, FL
National Provider Identifier
1114176286
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
ME0056370 Issued in FL
Legal business name
LILIANNE SOBRADO M D P A
Practice address
8525 SW 92ND St
Suite D 17
Miami, FL 33156-7365
Phone
(305) 270-0402
Fax
(305) 595-6179
NPI assigned
Sep 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2009

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

Authorized official

Name
Dr. Lilianne Sobrado, M.D.
Title
President
Phone
(305) 270-0402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X ME0056370 FL Primary

Addresses

Primary practice location

8525 SW 92ND St
Suite D 17
Miami, FL 33156-7365

Mailing address

8525 SW 92ND St
Suite D 17
Miami, FL 33156-7365
Phone (305) 270-0402

Other identifiers 1

IdentifierTypeStateIssuer
256035600MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1114176286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8525 SW 92ND ST",
            "address_2": "SUITE D 17",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567365",
            "telephone_number": "305-270-0402",
            "fax_number": "305-595-6179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8525 SW 92ND ST",
            "address_2": "SUITE D 17",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567365",
            "telephone_number": "305-270-0402",
            "fax_number": "305-595-6179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILIANNE SOBRADO M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-15",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "SOBRADO",
        "authorized_official_first_name": "LILIANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-270-0402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME0056370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256035600",
            "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 Mar 9, 2009; 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.