Active NPI
Hilda M De la Pedraja, P.A
- Physician Assistant
- Miami, FL
National Provider Identifier
1588600183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA 9100780
- Practice address
- 1062 NW 134TH PL
Miami, FL 33182-2280 - Phone
- (305) 370-5236
- NPI assigned
- Jun 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA 9100780 | FL | Primary |
Addresses
Primary practice location
1062 NW 134TH PL
Miami, FL 33182-2280
Mailing address
1062 NW 134TH PL
Miami, FL 33182-2280
Phone (305) 370-5236
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA 9100780 | Other | FL | DEPARTMENT OF HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 9100780 | FL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1588600183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1062 NW 134TH PL",
"city": "MIAMI",
"state": "FL",
"postal_code": "331822280",
"telephone_number": "305-370-5236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1062 NW 134TH PL",
"city": "MIAMI",
"state": "FL",
"postal_code": "331822280",
"telephone_number": "305-370-5236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LA PEDRAJA",
"first_name": "HILDA",
"middle_name": "M",
"credential": "P.A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA 9100780",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF HEALTH",
"identifier": "PA 9100780",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.