Organization Active NPI

Orestes M Pablos, MD PA

  • Surgery Physician
  • Miami, FL
National Provider Identifier
1336445832
Registry record updated Jan 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME0030109 Issued in FL
Legal business name
ORESTES M PABLOS, MD PA
Practice address
6498 Coral Way
Miami, FL 33155-1949
Phone
(305) 662-2815
Fax
(305) 663-0716
NPI assigned
Jan 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2011

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

Authorized official

Name
Orestes M Pablos, MD
Title
President
Phone
(305) 662-2815

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X ME0030109 FL Primary

Addresses

Primary practice location

6498 Coral Way
Miami, FL 33155-1949

Mailing address

PO Box 440254
Miami, FL 33144-0254
Phone (305) 662-2815

Other identifiers 1

IdentifierTypeStateIssuer
039517000MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1336445832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440254",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331440254",
            "telephone_number": "305-662-2815",
            "fax_number": "305-663-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6498 CORAL WAY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551949",
            "telephone_number": "305-662-2815",
            "fax_number": "305-663-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORESTES M PABLOS, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-31",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "PABLOS",
        "authorized_official_first_name": "ORESTES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-662-2815",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME0030109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039517000",
            "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 Jan 31, 2011; 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.