Individual provider Active NPI

Maria-Victoria Dajud-Azuero, M.D.

  • Pediatrics Physician
  • Tampa, FL
National Provider Identifier
1568530673
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME133046 Issued in FL
Practice address
3030 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6308
Phone
(813) 879-4730
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 36669 IA
Pediatrics Physician 208000000X ME133046 FL Primary

Addresses

Primary practice location

3030 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6308

Mailing address

1300 Sawgrass Corporate Pkwy Ste 200
Sunrise, FL 33323-2823
Phone (800) 243-3839

Other practice location 1

1200 Pleasant St
Blank Children's Hospital
Des Moines, IA 50309-1406
Phone (515) 241-5926

Other identifiers 2

IdentifierTypeStateIssuer
1568530673MedicaidIA
003108798AMedicaidGA

Other names 1

  • Maria-Victoria Dajud Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180208000969 FL Practitioner - Pediatric Medicine 2264557230 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME133046FLMDPediatrics Physician
36669IAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrix Medical Group of Florida Inc CurrentSince Nov 18, 2017 Accepting new patients

Locations

3100 SW 62nd Ave
Miami, FL 33155
Phone (305) 669-5873

1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401

12969 S US 301
Riverview, FL 33578
Phone (813) 971-6909

1300 Sawgrs Corp Pkwy
Ste 200
Sunrise, FL 33323
Phone (954) 384-0175

3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1568530673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 SAWGRASS CORPORATE PKWY STE 200",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232823",
            "telephone_number": "800-243-3839",
            "fax_number": "855-527-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 W DR MARTIN LUTHER KING JR BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076308",
            "telephone_number": "813-879-4730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Pleasant St",
            "address_2": "Blank Children's Hospital",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503091406",
            "country_code": "US",
            "telephone_number": "515-241-5926",
            "fax_number": "515-241-5127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAJUD-AZUERO",
        "first_name": "MARIA-VICTORIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IA",
            "license": "36669",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME133046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568530673",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003108798A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA-VICTORIA",
            "last_name": "DAJUD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.