NPIMap

Organization Active NPI

Pedro Sevilla LLC

  • Pulmonary Disease Physician
  • Miami, FL
National Provider Identifier
1629430756
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
PEDRO SEVILLA LLC
Practice address
7000 SW 97TH Ave Ste 120
Miami, FL 33173-1474
Phone
(786) 299-5419
Fax
(844) 431-6801
NPI assigned
Mar 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

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

Authorized official

Name
Dr. Pedro A Sevilla Saez-Benito, MDNPI 1902071939
Title
Owner
Phone
(786) 299-5419

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0200X FL
Pulmonary Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RP1001X FL Primary

Addresses

Primary practice location

7000 SW 97TH Ave Ste 120
Miami, FL 33173-1474

Mailing address

PO Box 562435
Miami, FL 33256-2435
Phone (786) 299-5419

Other identifiers 1

IdentifierTypeStateIssuer
R9V8AOtherFLBCBS

Other names 1

  • Miami Pulmonary Specialists Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160801001146 FL Part B Supplier - Clinic/Group Practice 2365735198 Receives reassigned benefits from 15 practitioners
Practice locations: Coral Gables, FL; Doral, FL; Homestead, FL; Key Largo, FL; Miami, FL; Tavernier, FL

National Provider Directory

National Provider Directory

Locations

7000 SW 97th Ave
Ste 120
Miami, FL 33173
Phone (305) 670-0055

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556150400000",
    "number": "1629430756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 562435",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332562435",
            "telephone_number": "786-299-5419",
            "fax_number": "844-431-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 SW 97TH AVE STE 120",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331731474",
            "telephone_number": "786-299-5419",
            "fax_number": "844-431-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDRO SEVILLA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-28",
        "last_updated": "2019-04-25",
        "status": "A",
        "authorized_official_last_name": "SEVILLA SAEZ-BENITO",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-299-5419",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "R9V8A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miami Pulmonary Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.