Individual provider Active NPI

Tatiana Perdomo Miquel, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Pompano Beach, FL
National Provider Identifier
1356572689
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
ME 113780 Issued in FL
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

Updated by the provider on Aug 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121004000694 FL Practitioner - Pathology 1850540949 Reassigns benefits to 4 organizations

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, PAGroup PAC ID 1658350350, shared by 3 NPIs, 8 clinicians

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 Hospital, West Palm Beach, FL, CCN 100287
  • St Mary'S Medical Center Hospital, West Palm Beach, FL, CCN 100288
  • CCN 100366 Hospital, CCN 100366
  • Delray Medical Center Hospital, Delray Beach, FL, CCN 100258

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 113780FLMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Pathology, PA Anatomic Pathology & Clinical Pathology CurrentSince Aug 3, 2021 Accepting new patients
Firstpath LLC Anatomic Pathology & Clinical Pathology CurrentSince Oct 1, 2012 Accepting new patients
Palm Beach Pathology PA Anatomic Pathology & Clinical Pathology CurrentSince Aug 3, 2021 Accepting new patients
Palm Beach Pathology, PA Anatomic Pathology & Clinical Pathology CurrentSince Jan 1, 2022 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.