Active NPI
Tatiana Perdomo Miquel, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Pompano Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- ME 113780
- Practice address
- 3141 W McNab Rd
Pompano Beach, FL 33069-4806 - Phone
- (954) 977-6977
- NPI assigned
- Aug 4, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | ME 113780 | FL | Primary |
Addresses
Primary practice location
3141 W McNab Rd
Pompano Beach, FL 33069-4806
Mailing address
5301 S Congress Ave
Atlantis, FL 33462-1149
Phone (561) 965-7300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Palm Beach Pathology, PA
Practice addresses (Care Compare)
1309 N Flagler Dr
West Palm BCH, FL 33401-3406
Phone (561) 642-2998
3360 Burns Rd
Palm Beach Gardens, FL 33410-4323
Phone (561) 642-2998
901 45TH St
Mangonia Park, FL 33407-2413
Phone (561) 642-2998
Hospital & facility affiliations
- Good Samaritan Medical Center
- St Mary'S Medical Center
- CCN 100366
- Delray Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 113780 | FL | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palm Beach Pathology, PA | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Firstpath LLC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Palm Beach Pathology PA | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Palm Beach Pathology, PA | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Acupath Inc | Past | Accepting new patients |
Locations
901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300
3141 W McNab Rd
Pompano Beach, FL 33069
Phone (954) 977-6977
1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309
2013 Ponce de Leon Ave
West Palm Beach, FL 33407
Phone (561) 659-0770
3360 Burns Rd
West Palm Beach, FL 33410
Phone (561) 622-1411
5700 Southwyck Blvd
Toledo, OH 43614
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Ft Lauderdale, FL
- NPI 1720171812
-
- Anatomic Pathology & Clinical Pathology Physician
- West Palm Beach, FL
- NPI 1912172024
-
- Anatomic Pathology & Clinical Pathology Physician
- Palm Beach Gardens, FL
- NPI 1720253198
-
- Anatomic Pathology & Clinical Pathology Physician
- West Palm Beach, FL
- NPI 1922273317
-
- Clinical Medical Laboratory
- Vero Beach, FL
- NPI 1396875936
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Delray Beach, FL
- NPI 1326078288
-
- General Acute Care Hospital
- Port St Lucie, FL
- NPI 1003618406
-
- General Acute Care Hospital
- West Palm Beach, FL
- NPI 1770515991
-
- General Acute Care Hospital
- West Palm Beach, FL
- NPI 1952333205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376352000000",
"number": "1356572689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5301 S CONGRESS AVE",
"city": "ATLANTIS",
"state": "FL",
"postal_code": "334621149",
"telephone_number": "561-965-7300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3141 W MCNAB RD",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330694806",
"telephone_number": "954-977-6977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIQUEL",
"first_name": "TATIANA",
"middle_name": "PERDOMO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-04",
"last_updated": "2013-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "FL",
"license": "ME 113780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.