Active NPI
Jose I Pradere, MD
- Pediatrics Physician
- Miami, FL
National Provider Identifier
1639187040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME28209
- Practice address
- 815 NW 57TH Ave Ste 110
Miami, FL 33126-2041 - Phone
- (305) 856-6371
- Fax
- (305) 262-2545
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ME28209 | FL | |
| Pediatrics Physician | 208000000X | ME28209 | FL | Primary |
Addresses
Primary practice location
815 NW 57TH Ave Ste 110
Miami, FL 33126-2041
Mailing address
815 NW 57TH Ave Ste 110
Miami, FL 33126-2041
Phone (305) 856-6371
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 037177700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME28209 | FL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jose I. Pradere, MD PA | Pediatrics | Current | Accepting new patients |
Locations
815 NW 57th Ave
Ste 110
Miami, FL 33126
Phone (305) 267-8885
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Miami, FL
- NPI 1780077032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744156800000",
"number": "1639187040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 NW 57TH AVE STE 110",
"city": "MIAMI",
"state": "FL",
"postal_code": "331262041",
"telephone_number": "305-856-6371",
"fax_number": "305-262-2545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 NW 57TH AVE STE 110",
"city": "MIAMI",
"state": "FL",
"postal_code": "331262041",
"telephone_number": "305-856-6371",
"fax_number": "305-262-2545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRADERE",
"first_name": "JOSE",
"middle_name": "I",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2025-04-09",
"certification_date": "2025-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME28209",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME28209",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "037177700",
"state": "FL"
}
],
"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 Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.