Active NPI
Bright Smiles Pedicare, Inc.
- Medically Fragile Infants and Children Day Care
- Miami, FL
National Provider Identifier
1609422450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medically Fragile Infants and Children Day Care
- Legal business name
- BRIGHT SMILES PEDICARE, INC.
- Practice address
- 2316 S Red Rd
Miami, FL 33155-2207 - Phone
- (786) 631-4926
- Fax
- (786) 703-7952
- NPI assigned
- Aug 16, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Huascar Pena
- Title
- Ceo/Owner
- Phone
- (786) 631-4926
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medically Fragile Infants and Children Day Care | 261QM3000X | Primary | ||
| Physical Therapy Clinic/Center | 261QP2000X |
Addresses
Primary practice location
2316 S Red Rd
Miami, FL 33155-2207
Mailing address
2316 S Red Rd
Miami, FL 33155-2207
Phone (786) 631-4926
National Provider Directory
National Provider DirectoryLocations
2316 S Red Rd
Miami, FL 33155
Phone (786) 631-4926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565913600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1565913600000",
"number": "1609422450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2316 S RED RD",
"city": "MIAMI",
"state": "FL",
"postal_code": "331552207",
"telephone_number": "786-631-4926",
"fax_number": "786-703-7952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2316 S RED RD",
"city": "MIAMI",
"state": "FL",
"postal_code": "331552207",
"telephone_number": "786-631-4926",
"fax_number": "786-703-7952"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIGHT SMILES PEDICARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-16",
"last_updated": "2019-08-16",
"status": "A",
"authorized_official_last_name": "PENA",
"authorized_official_first_name": "HUASCAR",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "786-631-4926",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QM3000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Aug 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.