Organization Active NPI

Yira de la Paz MD PA

  • Family Medicine Physician
  • Pembroke Pines, FL
National Provider Identifier
1194830109
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME89466 Issued in FL
Legal business name
YIRA DE LA PAZ MD PA
Practice address
500 N Hiatus Rd
Ste 103
Pembroke Pines, FL 33026-5213
Phone
(954) 443-4423
Fax
(954) 443-4483
NPI assigned
Aug 20, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Yira L De la Paz,, MD
Title
President
Phone
(954) 443-4423

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME89466 FL Primary

Addresses

Primary practice location

500 N Hiatus Rd
Ste 103
Pembroke Pines, FL 33026-5213

Mailing address

PO Box 820897
South Florida, FL 33082-0897
Phone (954) 443-4423

Other identifiers 1

IdentifierTypeStateIssuer
50017OtherFLBCBS OF FL

National Provider Directory

National Provider Directory

Locations

500 N Hiatus Rd
Ste 103
Pembroke Pines, FL 33026
Phone (954) 367-5166

7924 Pines Blvd
Ste 203
Pembroke Pines, FL 33024
Phone (954) 443-4423

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1194830109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 820897",
            "city": "SOUTH FLORIDA",
            "state": "FL",
            "postal_code": "330820897",
            "telephone_number": "954-443-4423",
            "fax_number": "954-443-4483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N HIATUS RD",
            "address_2": "STE 103",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330265213",
            "telephone_number": "954-443-4423",
            "fax_number": "954-443-4483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YIRA DE LA PAZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "DE LA PAZ,",
        "authorized_official_first_name": "YIRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-443-4423",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME89466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "50017",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.