Active NPI
Maximiliano Cardozo PA
Doing business as Advanced Psychiatric Care, P.A.
- Psychiatry Physician
- Pembroke Pines, FL
National Provider Identifier
1487747275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME78637
- Legal business name
- MAXIMILIANO CARDOZO PA
- Doing business as
- Advanced Psychiatric Care, P.A.
- Practice address
- 18501 Pines Boulevard
Suite 209
Pembroke Pines, FL 33029 - Phone
- (954) 437-2118
- Fax
- (954) 432-3188
- NPI assigned
- Oct 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Maximiliano Cardozo, M.D.
- Title
- Director
- Phone
- (954) 559-7903
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME78637 | FL | Primary |
Addresses
Primary practice location
18501 Pines Boulevard
Suite 209
Pembroke Pines, FL 33029
Mailing address
14937 SW 35TH St
Davie, FL 33331-2722
Phone (954) 559-7903
Other names 1
- Advanced Psychiatric Care, P.A.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryNetworks
- HealthSun Health Plans Network
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Pembroke Pines, FL
- NPI 1043303837
-
- Psychiatric/Mental Health Nurse Practitioner
- Penbroke Pines, FL
- NPI 1831203876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1185235200000",
"number": "1487747275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14937 SW 35TH ST",
"city": "DAVIE",
"state": "FL",
"postal_code": "333312722",
"telephone_number": "954-559-7903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18501 PINES BOULEVARD",
"address_2": "SUITE 209",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "33029",
"telephone_number": "954-437-2118",
"fax_number": "954-432-3188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAXIMILIANO CARDOZO PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-24",
"status": "A",
"authorized_official_last_name": "CARDOZO",
"authorized_official_first_name": "MAXIMILIANO",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "954-559-7903",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME78637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced Psychiatric Care, P.A.",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.