Rodolfo Sidron, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME87379 Issued in FL

Practice address

8410 W Flagler St Ste 212-213
Miami, FL 33144-2092

Phone

(786) 388-9877

Fax

(786) 388-9627

NPI assigned

May 19, 2006

Reactivated

Oct 11, 2006

Last updated

Sep 20, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rodolfo Sidron MD PA

  • Pediatrics Physician
  • Miami, FL
  • NPI 1447299292
  NPD Authorized official
• A&P Medical Center Inc

  • Clinic/Center
  • Miami, FL
  • NPI 1477509305
  NPD (past)
• Excellent Care Chiropractic Center Inc

  • Health Service Clinic/Center
  • Miami, FL
  • NPI 1306854211
  NPD (past)
• Excellent Care Chiropractic Center, Inc

  • Multi-Specialty Clinic/Center
  • Virginia Gardens, FL
  • NPI 1396783361
  NPD (past)
• M.S. Loving Institute Inc.

  • Ph.D. Medical Genetics
  • Hialeah, FL
  • NPI 1376591867
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1558314468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8410 W FLAGLER ST STE 212-213",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442092",
            "telephone_number": "786-388-9877",
            "fax_number": "786-388-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8410 W FLAGLER ST STE 212-213",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442092",
            "telephone_number": "786-388-9877",
            "fax_number": "786-388-9627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDRON",
        "first_name": "RODOLFO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "deactivation_date": "2006-07-17",
        "reactivation_date": "2006-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "MD87379",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME87379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267832200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sidney J Stern Visual Health Centers PA
• Sidney J Stern Visual Health Centers PA
• Sidney J Stern Visual Health Centers PA
• Sidney J Stern Visual Health Centers PA
• Philip Ross Sidran, O.D.
• James J Siefert, ARNP
• Siegel & Taban, P.a.
• Ashleigh H Siegel, DO
• Judith Siegel, BS
• Yoel Josef Siegel, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.