Active NPI
Barroso Medical Services LLC
Doing business as AB Core Pediatrics
- Family Medicine Physician
- Miami Lakes, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- BARROSO MEDICAL SERVICES LLC
- Doing business as
- AB Core Pediatrics
- Practice address
- 5803 NW 151St St Ste 102-103
Miami Lakes, FL 33014-2495 - Phone
- (786) 899-0119
- NPI assigned
- Aug 17, 2017
- 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
- Ihosvani Barroso, MD
- Title
- President
- Phone
- (786) 899-0119
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Primary Care Clinic/Center | 261QP2300X |
Addresses
Primary practice location
5803 NW 151St St Ste 102-103
Miami Lakes, FL 33014-2495
Mailing address
4835 E 4TH Ave Ste B
Hialeah, FL 33013-1814
Phone (305) 613-7986
Other practice location 1
4835 E 4th Ave Ste B
Hialeah, FL 33013-1814
Phone (786) 899-0119
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022004900 | Medicaid | FL | |
| ME122334 | Other | FL | MEDICAL LICENSE |
Other names 1
- AB Core Pediatrics
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2135404 | Barroso Medical Services LLC | Certificate of waiver | Aug 21, 2027 |
| 10D2269970 | Barroso Medical Services LLC | Certificate of waiver | Oct 5, 2026 |
National Provider Directory
National Provider DirectoryLocations
4835 E 4th Ave
#B
Hialeah, FL 33013
Phone (786) 431-1376
Networks
- HealthSun Health Plans Network
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Miami, FL
- NPI 1033851449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502928000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735776000000",
"number": "1245756576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4835 E 4TH AVE STE B",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330131814",
"telephone_number": "305-613-7986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5803 NW 151ST ST STE 102-103",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330142495",
"telephone_number": "786-899-0119"
}
],
"practiceLocations": [
{
"address_1": "4835 E 4th Ave Ste B",
"address_purpose": "LOCATION",
"city": "Hialeah",
"state": "FL",
"postal_code": "330131814",
"country_code": "US",
"telephone_number": "786-899-0119",
"fax_number": "786-899-0440",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BARROSO MEDICAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-17",
"last_updated": "2025-01-02",
"certification_date": "2025-01-02",
"status": "A",
"authorized_official_last_name": "BARROSO",
"authorized_official_first_name": "IHOSVANI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "786-899-0119",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022004900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "ME122334",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "AB Core Pediatrics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.