Organization Active NPI

Pediatrics Services of Miami Inc

  • Pediatrics Physician
  • Miami, FL
National Provider Identifier
1417257338
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME102172 Issued in FL
Legal business name
PEDIATRICS SERVICES OF MIAMI INC
Practice address
434 SW 12TH Ave
Suite 302
Miami, FL 33130-2440
Phone
(786) 339-1867
NPI assigned
Oct 26, 2010
Last updated
Oct 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2010

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

Authorized official

Name
Dr. Angelo Montero, M.D
Title
Owner
Phone
(786) 339-1867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME102172 FL Primary

Addresses

Primary practice location

434 SW 12TH Ave
Suite 302
Miami, FL 33130-2440

Mailing address

434 SW 12TH Ave
Suite 302
Miami, FL 33130-2440
Phone (786) 339-1867

National Provider Directory

National Provider Directory

Locations

434 SW 12th Ave
Ste 302
Miami, FL 33130
Phone (786) 339-1867

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1417257338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 SW 12TH AVE",
            "address_2": "SUITE 302",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331302440",
            "telephone_number": "786-339-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 SW 12TH AVE",
            "address_2": "SUITE 302",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331302440",
            "telephone_number": "786-339-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRICS SERVICES OF MIAMI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-26",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "MONTERO",
        "authorized_official_first_name": "ANGELO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-339-1867",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME102172",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 26, 2010; 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.