Organization Active NPI

Lakewood Ranch Pediatrics

  • Specialist
  • Bradenton, FL
National Provider Identifier
1417146705
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME52889 Issued in FL
Legal business name
LAKEWOOD RANCH PEDIATRICS
Practice address
8340 Lakewood Ranch Blvd
Suite 120
Bradenton, FL 34202-5180
Phone
(941) 907-9751
Fax
(941) 907-9554
NPI assigned
Oct 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Authorized official

Name
Dr. Miguel Alvarez, M.D.NPI 1902838733
Title
Owner
Phone
(941) 907-9457

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME52889 FL Primary

Addresses

Primary practice location

8340 Lakewood Ranch Blvd
Suite 120
Bradenton, FL 34202-5180

Mailing address

8340 Lakewood Ranch Blvd
Suite 120
Bradenton, FL 34202-5180
Phone (941) 907-9751

National Provider Directory

National Provider Directory

Locations

8340 Lakewood Ranch Blvd
Ste 120
Lakewood Ranch, FL 34202
Phone (941) 359-9255

5204 Paylor Ln
Lakewood Ranch, FL 34240
Phone (941) 355-0299

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1417146705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8340 LAKEWOOD RANCH BLVD",
            "address_2": "SUITE 120",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342025180",
            "telephone_number": "941-907-9751",
            "fax_number": "941-907-9554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 LAKEWOOD RANCH BLVD",
            "address_2": "SUITE 120",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342025180",
            "telephone_number": "941-907-9751",
            "fax_number": "941-907-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD RANCH PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-907-9457",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME52889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.