South Miami Pediatries

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

ME0055384 Issued in FL

Legal business name

SOUTH MIAMI PEDIATRIES

Practice address

9745 SW 184TH St
Miami, FL 33157-6932

Phone

(305) 629-2669

Fax

(305) 981-2095

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mario Sanchez, M.D.

Title

Owern

Phone

(305) 629-2669

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235260761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9745 SW 184TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331576932",
            "telephone_number": "305-629-2669",
            "fax_number": "305-981-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9745 SW 184TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331576932",
            "telephone_number": "305-629-2669",
            "fax_number": "305-981-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH MIAMI PEDIATRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "OWERN",
        "authorized_official_telephone_number": "305-629-2669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "FL",
            "license": "ME0055384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Miami Medical Center Inc
• South Miami Medical Group LLC
• South Miami Medical Group, Inc.
• South Miami Medical, Inc
• South Miami Pediatric Professionals, PA
• South Miami Pharmacy II LLC
• South Miami Recovery, Inc
• South Miami Rehabilitation, Inc.
• South Miami Senior Care
• South Miami Sportmedicine & Hand Therapy Center Inc

• Pediatric Adolescent Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Pediatric Adolescent Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.