NPIMap

Organization Active NPI

Nicklaus Children'S Pediatric Specialists, LLC

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Miami, FL
National Provider Identifier
1588063176
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X
Legal business name
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
Practice address
3100 SW 62ND Ave
Miami, FL 33155
Phone
(786) 624-5876
Fax
(786) 624-2688
NPI assigned
Aug 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Marcos Mestre, MD
Title
SVP
Phone
(786) 624-5747

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Pediatric Emergency Medicine (Pediatrics) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0204X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

3100 SW 62ND Ave
Miami, FL 33155

Mailing address

PO Box 947095
Atlanta, GA 30394-7095
Phone (786) 624-5876

Other identifiers 1

IdentifierTypeStateIssuer
013515200MedicaidFL

Other names 1

  • Nicklaus Children's Pediatric Specialists - Emergency Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170329002645 FL Part B Supplier - Clinic/Group Practice 5395020507 Receives reassigned benefits from 68 practitioners
32 other NPIs on this enrollment
Practice locations: Weston, FL; Plantation, FL; Palmetto Bay, FL; Palm City, FL; Miami, FL; Hialeah, FL; Fort Lauderdale, FL; Coral Springs, FL…

Other NPIs on the same Medicare enrollment 32

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 32

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Specialty Group Inc76 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations (25 of 33)

20295 NE 29th Pl
Aventura, FL 33180
Phone (305) 932-7366

3100 Coral Hills Dr
Ste 200
Coral Springs, FL 33065
Phone (954) 796-3925

18557 S Dixie Hwy
Cutler Bay, FL 33157
Phone (786) 293-9000

3601 NW 107th Ave
Fl 2
Doral, FL 33178

3601 NW 107th Ave
Doral, FL 33178
Phone (305) 624-3672

1146 W 68th St
Hialeah, FL 33014

3100 SW 62nd Ave
Ste 4NICU
Miami, FL 33155

3100 SW 62nd Ave
Ste 4
Miami, FL 33155

9260 SW 72nd St
Ste 217
Miami, FL 33173
Phone (305) 271-7330

3100 SW 62nd Ave
Ste 102
Miami, FL 33155
Phone (305) 662-8368

13400 SW 120th St
Ste 202
Miami, FL 33186

3915 Biscayne Blvd
Ste 314
Miami, FL 33137
Phone (305) 571-8739

3200 SW 60th Ct
Ste 201
Miami, FL 33155
Phone (305) 662-8220

3915 Biscayne Blvd
Ste 300
Miami, FL 33137

13400 SW 120th St
Ste 100200
Miami, FL 33186

3445 NW 7th St
#1
Miami, FL 33125

3100 SW 62nd Ave
Ste 100
Miami, FL 33155

3100 SW 62nd Ave
Ste 304
Miami, FL 33155

9260 Sunset Dr
Bldg 6
Miami, FL 33173
Phone (305) 595-9986

13400 SW 120th St
Miami, FL 33186
Phone (305) 268-5977

4308 Alton Rd
Ste 940
Miami Beach, FL 33140
Phone (305) 604-3216

15025 NW 77th Ave
Miami Lakes, FL 33014
Phone (305) 512-1550

3361 Pine Ridge Rd
Ste 101
Naples, FL 34109
Phone (239) 254-4260

11210 Legacy Ave
Palm Beach Gardens, FL 33410

8950 SW 152nd St
Ste 115
Palmetto Bay, FL 33157

Practitioners & affiliated clinicians

Practitioners 236

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 236

NPI Registry JSON

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1588063176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 947095",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303947095",
            "telephone_number": "786-624-5876",
            "fax_number": "786-624-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 SW 62ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33155",
            "telephone_number": "786-624-5876",
            "fax_number": "786-624-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-19",
        "last_updated": "2025-09-02",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "MESTRE",
        "authorized_official_first_name": "MARCOS",
        "authorized_official_title_or_position": "SVP",
        "authorized_official_telephone_number": "786-624-5747",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013515200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nicklaus Children's Pediatric Specialists - Emergency Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.