Active NPI
Miami Lakes Pediatrics PLLC
- Pediatrics Physician
- Loxahatchee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- MIAMI LAKES PEDIATRICS PLLC
- Practice address
- 12957 Palms West Dr Ste 101
Loxahatchee, FL 33470-4932 - Phone
- (561) 795-5979
- Fax
- (561) 795-9460
- NPI assigned
- Jan 9, 2021
- Organization subpart
- Yes
- Parent organization
- MIAMI LAKES PEDIATRICS PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cristina Alfonso
- Title
- Practice Administrator
- Phone
- (305) 823-7768
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
12957 Palms West Dr Ste 101
Loxahatchee, FL 33470-4932
Mailing address
14400 NW 77TH CT Ste 102
Miami Lakes, FL 33016-1590
Phone (305) 823-7768
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 |
|---|---|---|---|
| 10D0669944 | Miami Lakes Pediatrics PLLC | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Miami Lakes Pediatrics PLLC
- Part of
- Miami Lakes Pediatrics PLLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatrics Physician
- Miami, FL
- NPI 1083202550
-
- Pediatrics Physician
- Miami Lakes, FL
- NPI 1861059248
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Pediatrics Physician
- Miami Lakes, FL
- NPI 1861059248
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Loxahatchee, FL
- NPI 1679558613
-
- Pediatrics Physician
- Loxahatchee, FL
- NPI 1275518227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1610150400000",
"number": "1366030835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14400 NW 77TH CT STE 102",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330161590",
"telephone_number": "305-823-7768",
"fax_number": "305-823-2211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12957 PALMS WEST DR STE 101",
"city": "LOXAHATCHEE",
"state": "FL",
"postal_code": "334704932",
"telephone_number": "561-795-5979",
"fax_number": "561-795-9460"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIAMI LAKES PEDIATRICS PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MIAMI LAKES PEDIATRICS PLLC",
"enumeration_date": "2021-01-09",
"last_updated": "2021-01-09",
"certification_date": "2021-01-09",
"status": "A",
"authorized_official_last_name": "ALFONSO",
"authorized_official_first_name": "CRISTINA",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "305-823-7768"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loxahatchee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2021; 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.