Organization Active NPI

Diego E. Pernudi, M.D. and Associates

  • Pediatrics Physician
  • Miami, FL
National Provider Identifier
1215976733
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME45889 Issued in FL
Legal business name
DIEGO E. PERNUDI, M.D. AND ASSOCIATES
Practice address
8260 W Flagler St
Suite 1K
Miami, FL 33144-2069
Phone
(305) 554-4830
Fax
(305) 553-7233
NPI assigned
Jun 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Authorized official

Name
Diego Eduardo PernudiNPI 1700072071
Title
President
Phone
(305) 554-4830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X ME45889 FL Primary

Addresses

Primary practice location

8260 W Flagler St
Suite 1K
Miami, FL 33144-2069

Mailing address

8260 W Flagler St
Suite 1K
Miami, FL 33144-2069
Phone (305) 554-4830

Other identifiers 3

IdentifierTypeStateIssuer
2037105OtherFLAETNA
12189OtherFLBLUE CROSS/BLUE SHIELD
1202009OtherFLUNITED HEALTH CARE

National Provider Directory

National Provider Directory

Locations

8260 W Flagler St
Ste 1K
Miami, FL 33144
Phone (305) 554-4830

Practitioners & affiliated clinicians

Practitioners 1

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": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1215976733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8260 W FLAGLER ST",
            "address_2": "SUITE 1K",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442069",
            "telephone_number": "305-554-4830",
            "fax_number": "305-553-7233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8260 W FLAGLER ST",
            "address_2": "SUITE 1K",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442069",
            "telephone_number": "305-554-4830",
            "fax_number": "305-553-7233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIEGO E. PERNUDI, M.D. AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "PERNUDI",
        "authorized_official_first_name": "DIEGO",
        "authorized_official_middle_name": "EDUARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-554-4830"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME45889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2037105",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "12189",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1202009",
            "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 Sep 12, 2007; 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.