Active NPI
Jacqueline Redondo, M.D.
- Orthopaedic Hand Surgery Physician
- Miami, FL
National Provider Identifier
1437170545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- 64553
- Practice address
- 7130 SW 87TH CT
Suite 100
Miami, FL 33173-2511 - Phone
- (305) 412-2800
- Fax
- (305) 412-6045
- NPI assigned
- Jul 22, 2006
- Last updated
- Sep 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | 64553 | FL | Primary |
Addresses
Primary practice location
7130 SW 87TH CT
Suite 100
Miami, FL 33173-2511
Mailing address
5690 SW 98TH Ave
Miami, FL 33173-1488
Phone (305) 412-1591
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64553 | FL | MD | Orthopaedic Hand Surgery Physician |
| 09335R | LA | MD | Neurology Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redondo Hand Center | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Redondo Hand Center
- Orthopaedic Hand Surgery Physician
- Miami, FL
- NPI 1336487974
-
- Specialist
- Miami, FL
- NPI 1417108879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190592000000",
"number": "1437170545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5690 SW 98TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331731488",
"telephone_number": "305-412-1591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7130 SW 87TH CT",
"address_2": "SUITE 100",
"city": "MIAMI",
"state": "FL",
"postal_code": "331732511",
"telephone_number": "305-412-2800",
"fax_number": "305-412-6045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDONDO",
"first_name": "JACQUELINE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-22",
"last_updated": "2007-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "FL",
"license": "64553",
"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 Sep 24, 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.