NPIMap

Organization Active NPI

Nicklaus Children's Pediatric Specialists, LLC

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

  • 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
Doing business as
Nicklaus Children's Pediatric Specialists - Emergency Medicine
Practice address
3100 SW 62ND Ave
Miami, FL 33155
Phone
(786) 624-5876
Fax
(786) 624-2688
NPI assigned
Aug 19, 2014
Last updated
Sep 2, 2025By the provider in NPPES
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, MDNPI 1538239553
Title
SVP
Phone
(786) 624-5747

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

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 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
Nicklaus Children's Pediatric Specialists LLC76 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 40)

3100 Coral Hills Dr
Coral Springs, FL 33065
Phone (954) 344-3168

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

1146 W 68th St
Hialeah, FL 33014

11011 Sheridan St
Ste 311
Hollywood, FL 33026
Phone (954) 435-7400

2072 NE 8th St
Homestead, FL 33033
Phone (786) 243-9700

11449 SW 40th St
Miami, FL 33165
Phone (786) 624-4200

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

13400 SW 120th St
Ste 100
Miami, FL 33186
Phone (786) 624-5363

13400 SW 120th St
Ste 100200
Miami, FL 33186

13400 SW 120th St
Ste 202
Miami, FL 33186

3100 SW 62nd Ave
#3109
Miami, FL 33155
Phone (305) 243-5501

3100 SW 62nd Ave
Fl Acb
Miami, FL 33155

3100 SW 62nd Ave
Ste 109
Miami, FL 33155

3100 SW 62nd Ave
Ste 206
Miami, FL 33155

3100 SW 62nd Ave
Ste 304
Miami, FL 33155

3100 SW 62nd Ave
Ste 4
Miami, FL 33155

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

3445 NW 7th St
#1
Miami, FL 33125

3915 Biscayne Blvd
Miami, FL 33137
Phone (305) 338-3014

3915 Biscayne Blvd
Ste 300
Miami, FL 33137

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

3925 SW 82nd Ave
Miami, FL 33155
Phone (305) 982-8217

5959 NW 7th St
Miami, FL 33126
Phone (305) 264-1000

Practitioners & affiliated clinicians

Practitioners 237

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 237

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": [],
    "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.