Organization Active NPI

Dr. Amaryllis Pascual, PA

  • Internal Medicine Physician
  • Aventura, FL
National Provider Identifier
1376801449
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DR. AMARYLLIS PASCUAL, PA
Practice address
18205 Biscayne Blvd
Suite 100
Aventura, FL 33160-2106
Phone
(305) 947-0751
Fax
(786) 288-5267
NPI assigned
Apr 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Authorized official

Name
Dr. Amaryllis Pascual, MD
Title
President
Phone
(305) 947-0751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

18205 Biscayne Blvd
Suite 100
Aventura, FL 33160-2106

Mailing address

18205 Biscayne Blvd
Suite 100
Aventura, FL 33160-2106
Phone (305) 947-0751

National Provider Directory

National Provider Directory

Locations

18205 Biscayne Blvd
Aventura, FL 33160
Phone (305) 947-0751

NPI Registry JSON

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1376801449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18205 BISCAYNE BLVD",
            "address_2": "SUITE 100",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331602106",
            "telephone_number": "305-947-0751",
            "fax_number": "786-288-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18205 BISCAYNE BLVD",
            "address_2": "SUITE 100",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331602106",
            "telephone_number": "305-947-0751",
            "fax_number": "786-288-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. AMARYLLIS PASCUAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "PASCUAL",
        "authorized_official_first_name": "AMARYLLIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-947-0751",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.