Pablo Antonio Baltodano Fallas, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

ME147294 Issued in FL

Practice address

8396 SW 8TH St FL 1
Miami, FL 33144-4180

Phone

(305) 615-4200

NPI assigned

Mar 25, 2014

Last updated

Jan 11, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Cpja Corp

  • Plastic Surgery Physician
  • Pembroke Pines, FL
  • NPI 1528806163
  NPD Authorized official

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1568889897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8396 SW 8TH ST FL 1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331444180",
            "telephone_number": "305-615-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8396 SW 8TH ST FL 1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331444180",
            "telephone_number": "305-615-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALTODANO FALLAS",
        "first_name": "PABLO",
        "middle_name": "ANTONIO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-25",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME147294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Baltar Castro
• Diana Baltar Castro
• Nicholas Baltera, DO
• Baltimore Medical Services Inc
• Jerline Baltimore, LCSW
• Roberto Jose Baltodano Jr.
• Amir Baluch, MD
• Ydielim Baluja Juvier
• Eliannys Baluja Linares, RBT
• Sandra Baluja Martinez

• Plastic Surgery Physician in Miami, FL
• Providers in Miami, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.

Verify at the official NPI Registry.