Family Pediatric Primary Care Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

FAMILY PEDIATRIC PRIMARY CARE INC.

Doing business as

Pediatric Medicine Associates Provider.

Practice address

7885 NW 107TH Ave Ste 403a
Doral, FL 33178-4426

Phone

(786) 402-9067

NPI assigned

Oct 15, 2026

Last updated

Oct 15, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jorge A De Diego, MD

Title

Vice President

Phone

(786) 402-9067

Specialties & licenses 1

Addresses

Other names 1

• Pediatric Medicine Associates Provider. Doing business as

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

{
    "created_epoch": "1792022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792022400000",
    "number": "1619873809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10773 NW 58TH ST # 315",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782801",
            "telephone_number": "786-402-9067",
            "fax_number": "305-594-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7885 NW 107TH AVE STE 403A",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784426",
            "telephone_number": "786-402-9067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PEDIATRIC PRIMARY CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-15",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A",
        "authorized_official_last_name": "DE DIEGO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "786-402-9067",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Medicine Associates Provider.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Family Health Community Inc
• Family Medical Centre
• Family Medical Clinic, LLC
• Family Medical Group Doral LLC
• Family Mental Health Corp
• Family Trust Home Health Care, Inc.
• Angela Z. Fandino, M.D.
• Isabella Fanous
• Fast X-Ray Portable Inc
• Ali Fathollahi, M.D.

• Pediatrics Physician in Doral, FL
• Providers in Doral, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.