Organization Active NPI

South Florida Pulmonary Care, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Miami Lakes, FL
National Provider Identifier
1619930450
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
HME # 701 Issued in FL
Legal business name
SOUTH FLORIDA PULMONARY CARE, INC.
Practice address
5733 NW 151St St
Miami Lakes, FL 33014-2481
Phone
(305) 826-4172
Fax
(305) 826-4178
NPI assigned
Apr 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Authorized official

Name
Mr. Ernesto Padron Jr., RESPIRATORY THERAPIS
Title
President
Phone
(305) 826-4172

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Durable Medical Equipment & Medical Supplies 332B00000X HME # 701 FL Primary

Addresses

Primary practice location

5733 NW 151St St
Miami Lakes, FL 33014-2481

Mailing address

5733 NW 151St St
Miami Lakes, FL 33014-2481
Phone (305) 826-4172

Other identifiers 2

IdentifierTypeStateIssuer
028639700MedicaidFL
R6307OtherFLBC/BS DME PROVIDER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930062979 FL DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 3072639756 Practice locations: Miami Lakes, 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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
South Florida Pulmonary Care Inc5733 NW 151St St, Miami Lakes, FL 33014-2481(305) 826-4172 Tracheotomy Supplies|Intermittent Positive Pressure Breathing IPPB DEV|Intrapulmonary Percussive Ventilation Devices|Mechanical In-Exsufflation Devices|Nebulizer Equipment and/or Supplies|Oxygen Equipment and/or Supplies|Respiratory Assist Devices|Respiratory Suction Pumps|Ventilators Accessories a… Does not accept assignmentParticipating since Jan 1, 2009

National Provider Directory

National Provider Directory

Locations

5733 NW 151st St
Miami Lakes, FL 33014
Phone (305) 826-4172

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1619930450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5733 NW 151ST ST",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142481",
            "telephone_number": "305-826-4172",
            "fax_number": "305-826-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5733 NW 151ST ST",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142481",
            "telephone_number": "305-826-4172",
            "fax_number": "305-826-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA PULMONARY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A",
        "authorized_official_last_name": "PADRON",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-826-4172",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RESPIRATORY THERAPIS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "HME # 701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028639700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS DME PROVIDER",
            "identifier": "R6307",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.