Pe Professional Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PE PROFESSIONAL INC

Practice address

13876 SW 56TH St # 292
Miami, FL 33175-6021

Phone

(786) 521-6517

NPI assigned

Aug 8, 2013

Organization subpart

No

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

Authorized official

Name

Pedro E La O

Title

President

Phone

(786) 521-6517

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375920000000",
    "number": "1487086773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13876 SW 56TH ST # 292",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756021",
            "telephone_number": "786-521-6517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13876 SW 56TH ST # 292",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756021",
            "telephone_number": "786-521-6517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PE PROFESSIONAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-08",
        "last_updated": "2013-08-08",
        "status": "A",
        "authorized_official_last_name": "LA O",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-521-6517"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PDL Pharmacy Corp
• PDL Pharmacy Corp
• PDL Therapy Services
• PDL Virtual Urgent Care Corp
• PDT Medical Research Corp.
• Taylor Kay Peabody
• Peace and Love Home Care Servces, LLC.
• Peace at Home LLC
• Peace Is Priceless Transport LLC
• Peace of His Cornerstone LLC

• Family Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; 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.