Active NPI
Yira de la Paz MD PA
- Family Medicine Physician
- Pembroke Pines, FL
National Provider Identifier
1194830109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME89466
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50017 | Other | FL | BCBS OF FL |
National Provider Directory
National Provider DirectoryLocations
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.