Active NPI
Maria-Victoria Dajud-Azuero, M.D.
- Pediatrics Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME133046
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568530673 | Medicaid | IA | |
| 003108798A | Medicaid | GA |
Other names 1
- Maria-Victoria Dajud
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME133046 | FL | MD | Pediatrics Physician |
| 36669 | IA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatrix Medical Group of Florida Inc | Current | 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.
-
- Pediatric Cardiology Physician
- Sunrise, FL
- NPI 1083711790
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.