Organization Active NPI

Panamerican Pediatrics

  • Pediatrics Physician
  • Miami Beach, FL
National Provider Identifier
1518095504
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME80932 Issued in FL
Legal business name
PANAMERICAN PEDIATRICS
Practice address
1177 71St St
Miami Beach, FL 33141-3645
Phone
(305) 867-5805
Fax
(305) 867-5807
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Dr. Wladimir Pizzuto Lorentz, M.D.
Title
Owner, President
Phone
(305) 867-5805

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X ME80932 FL Primary

Addresses

Primary practice location

1177 71St St
Miami Beach, FL 33141-3645

Mailing address

1177 71St St
Miami Beach, FL 33141-3645
Phone (305) 867-5805

Other identifiers 1

IdentifierTypeStateIssuer
265577200MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1518095504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 71ST ST",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331413645",
            "telephone_number": "305-867-5805",
            "fax_number": "305-867-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 71ST ST",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331413645",
            "telephone_number": "305-867-5805",
            "fax_number": "305-867-5807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANAMERICAN PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "LORENTZ",
        "authorized_official_first_name": "WLADIMIR",
        "authorized_official_middle_name": "PIZZUTO",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "305-867-5805",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME80932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265577200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.