Organization Active NPI

Pediatric Services and Breathing Center PA

  • Pulmonary Disease Physician
  • The Villages, FL
National Provider Identifier
1619163359
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME0081374 Issued in FL
Legal business name
PEDIATRIC SERVICES AND BREATHING CENTER PA
Practice address
1400 N US Highway 441 Ste 940
The Villages, FL 32159-8975
Phone
(352) 751-4958
Fax
(352) 751-4959
NPI assigned
Sep 17, 2007
Last updated
Mar 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Authorized official

Name
Juan Albino, MDNPI 1366543787
Title
Owner
Phone
(352) 751-4958

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME0081374 FL Primary
Pediatric Adolescent Medicine Physician 2080A0000X ME0081373 FL
Sleep Medicine (Internal Medicine) Physician 207RS0012X ME0081374 FL

Addresses

Primary practice location

1400 N US Highway 441 Ste 940
The Villages, FL 32159-8975

Mailing address

1400 N US Highway 441 Ste 940
The Villages, FL 32159-8975
Phone (352) 751-4958

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090831000583 FL Part B Supplier - Clinic/Group Practice 7113072935 Receives reassigned benefits from 2 practitioners
Practice locations: The Villages, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0988108Pediatric Services and Breathing Center PA1400 US Hwy 441N BLDG 940 Ste 942, The Villages, FL 32159Certificate of waiverJan 13, 2027

National Provider Directory

National Provider Directory

Locations

1400 N US Highway 441
Ste 940
The Villages, FL 32159
Phone (352) 750-1700

1400 N US Highway 441
Ste 942
The Villages, FL 32159
Phone (352) 751-4955

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1619163359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N US HIGHWAY 441 STE 940",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321598975",
            "telephone_number": "352-751-4958",
            "fax_number": "352-751-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N US HIGHWAY 441 STE 940",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321598975",
            "telephone_number": "352-751-4958",
            "fax_number": "352-751-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC SERVICES AND BREATHING CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-17",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "ALBINO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-751-4958",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME0081374",
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "FL",
            "license": "ME0081373",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "FL",
            "license": "ME0081374",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.