Kendall Pediatrics

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

ME 38885 Issued in FL

Legal business name

KENDALL PEDIATRICS

Practice address

11400 N Kendall Dr
Suite A211
Miami, FL 33176-1029

Phone

(305) 274-2255

Fax

(305) 274-2211

NPI assigned

Mar 6, 2007

Last updated

Sep 24, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Guillermo Juan Llosa, M.D.NPI 1720077308

Title

Owner

Phone

(305) 274-2255

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• GUILLERMO J LLOSA, MD, PA Former legal business name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 5

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.

• Guillermo Juan Llosa, M.D.

  • Pediatric Adolescent Medicine Physician
  • Miami, FL
  • NPI 1720077308
  NPD (past) Authorized official
• Sandra Nairuby De Jesus Medina, MD

  • Pediatrics Physician
  • Miami, FL
  • NPI 1134578859
  NPD (past)
• Giselle Maria Fontela, MD

  • Pediatrics Physician
  • Coral Gables, FL
  • NPI 1083103246
  NPD (past)
• Raquel Aurora Olavarrieta, M.D.

  • Pediatrics Physician
  • Miami, FL
  • NPI 1477896199

  Adolescent Medicine

  NPD (past)
• Alina Siblesz Ruiz, M.D.

  • Pediatrics Physician
  • Miami, FL
  • NPI 1063475887
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1497885834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11400 N KENDALL DR",
            "address_2": "SUITE A211",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761029",
            "telephone_number": "305-274-2255",
            "fax_number": "305-274-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 N KENDALL DR",
            "address_2": "SUITE A211",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761029",
            "telephone_number": "305-274-2255",
            "fax_number": "305-274-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDALL PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "LLOSA",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_middle_name": "JUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-274-2255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "FL",
            "license": "ME 38885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266165900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275521100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GUILLERMO LLOSA, MD",
            "identifier": "1720077308",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI ALINA SIBLESZ RUIZ MD",
            "identifier": "1063475887",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275116000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GUILLERMO J LLOSA, MD, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kendall Optical
• Kendall Optical Center, Inc
• Kendall Oral Surgery
• Kendall Pain Center LLC
• Kendall Pain Management Center Corp
• Kendall Physical Therapy & Hand Rehabilitation Center LLC (Hands Rehab)
• Kendall Prosthetics & Orthotics, Inc. (Integrative Rehabilitation Medical, LLC)
• Kendall Psychiatric Services LLC
• Kendall Psychiatry LLC
• Kendall Regional Hospital

• Pediatric Adolescent Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Pediatric Adolescent Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.