Miami Shores Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME82129 Issued in FL

Legal business name

MIAMI SHORES PEDIATRICS

Practice address

9715 NE 2ND Ave
Miami Shores, FL 33138-2310

Phone

(305) 757-8040

NPI assigned

Dec 28, 2017

Organization subpart

No

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

Authorized official

Name

Laura Isis Fernandez-Ortiz, MD

Title

President

Phone

(305) 757-8040

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BGAGCA

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

{
    "created_epoch": "1514419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514419200000",
    "number": "1548776503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9715 NE 2ND AVE",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382310",
            "telephone_number": "305-757-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9715 NE 2ND AVE",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382310",
            "telephone_number": "305-757-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI SHORES PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-28",
        "last_updated": "2017-12-28",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ-ORTIZ",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "ISIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-757-8040",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME82129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miami Shores Holistic Health, Inc.
• Miami Shores Medical Group LLC
• Miami Shores Modern Dentistry, PA (Miami Shores Modern Dentistry)
• Miami Shores Neurology & Sleep Institute, LLC
• Miami Shores Optical Inc.
• Miami Shores Pediatrics, Inc
• Miami VA Medical Health Center
• Midland Medical Miami Shores Inc
• Nicolas Michael Milano, R.N.
• Jeffrey A Miller, LCSW

• Pediatrics Physician in Miami Shores, FL
• Providers in Miami Shores, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; 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.