Organization Active NPI

Pedro Publio Bosch MD PA

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1407991300
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0028393 Issued in FL
Legal business name
PEDRO PUBLIO BOSCH MD PA
Practice address
2601 SW 37TH Ave
Suite 601
Miami, FL 33133-2700
Phone
(305) 446-6414
Fax
(305) 446-2350
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Pedro P Bosch, MD
Title
Owner Physician
Phone
(305) 446-6414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME0028393 FL Primary

Addresses

Primary practice location

2601 SW 37TH Ave
Suite 601
Miami, FL 33133-2700

Mailing address

2601 SW 37TH Ave
Suite 601
Miami, FL 33133-2700
Phone (305) 446-6414

Other identifiers 5

IdentifierTypeStateIssuer
2296999OtherFLAETNA
056894500MedicaidFL
92403OtherFLBCBS
20420OtherFLNEIGHBORHOOD
221876OtherFLAVMED

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1407991300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 SW 37TH AVE",
            "address_2": "SUITE 601",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332700",
            "telephone_number": "305-446-6414",
            "fax_number": "305-446-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 SW 37TH AVE",
            "address_2": "SUITE 601",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332700",
            "telephone_number": "305-446-6414",
            "fax_number": "305-446-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDRO PUBLIO BOSCH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "BOSCH",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "305-446-6414",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0028393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2296999",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056894500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "92403",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD",
            "identifier": "20420",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "221876",
            "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 May 19, 2008; 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.