NPIMap

Organization Active NPI

Kidz Medical Services

  • Pediatric Pulmonology Physician
  • South Miami, FL
National Provider Identifier
1144537077
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
ME47855 Issued in FL
Legal business name
KIDZ MEDICAL SERVICES
Practice address
6280 SW 72ND St Ste 607
South Miami, FL 33143-4875
Phone
(305) 661-1515
Fax
(305) 662-3723
NPI assigned
Sep 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Authorized official

Name
Lindsay Mendiola
Title
Cfo, Coo
Phone
(305) 661-1515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Pulmonology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0214X ME47855 FL Primary

Addresses

Primary practice location

6280 SW 72ND St Ste 607
South Miami, FL 33143-4875

Mailing address

5955 Ponce de Leon Blvd
Coral Gables, FL 33146
Phone (305) 668-0075

Other identifiers 1

IdentifierTypeStateIssuer
046371001MedicaidFL

Other names 1

  • Pediatric Pulmonary Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Kidz Pediatric Multispecialty16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Locations

6280 Sunset Dr
Ste 607
South Miami, FL 33143
Phone (305) 665-2300

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1144537077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 PONCE DE LEON BLVD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "33146",
            "telephone_number": "305-668-0075",
            "fax_number": "305-668-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6280 SW 72ND ST STE 607",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434875",
            "telephone_number": "305-661-1515",
            "fax_number": "305-662-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDZ MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "MENDIOLA",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "CFO, COO",
        "authorized_official_telephone_number": "305-661-1515"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "FL",
            "license": "ME47855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046371001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Pulmonary Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Pediatric Pulmonary Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in South Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.