NPIMap

Organization Active NPI

Kidz Medical Services, Inc.

  • Pediatric Gastroenterology Physician
  • Hollywood, FL
National Provider Identifier
1306191580
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
ME58352 Issued in FL
Legal business name
KIDZ MEDICAL SERVICES, INC.
Practice address
3800 Johnson St Ste J
Hollywood, FL 33021-6030
Phone
(954) 967-9400
Fax
(833) 464-4211
NPI assigned
Jul 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Authorized official

Name
Dr. Jorge Perez, MD
Title
Co-Owner
Phone
(305) 661-1515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0206X ME58352 FL Primary

Addresses

Primary practice location

3800 Johnson St Ste J
Hollywood, FL 33021-6030

Mailing address

5955 Ponce de Leon Blvd
Coral Gables, FL 33146-2423
Phone (305) 661-1515

Other names 1

  • Kidz Gastro Group Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2234682Kidz Medical Services, Inc3800 Johnson Street, Suite J, Hollywood, FL 33021Certificate of waiverSep 1, 2027

National Provider Directory

National Provider Directory
Tax ID family
Kidz Pediatric Multispecialty16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

3800 Johnson St
Ste J
Hollywood, FL 33021
Phone (954) 967-9400

Practitioners & affiliated clinicians

Practitioners 8

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": "1342137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1306191580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 PONCE DE LEON BLVD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462423",
            "telephone_number": "305-661-1515",
            "fax_number": "305-662-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 JOHNSON ST STE J",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216030",
            "telephone_number": "954-967-9400",
            "fax_number": "833-464-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDZ MEDICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-13",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "305-661-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "FL",
            "license": "ME58352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kidz Gastro Group",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Kidz Gastro Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.