Homestead Pediatric Associates, Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME83861 Issued in FL

Legal business name

HOMESTEAD PEDIATRIC ASSOCIATES, INC.

Practice address

975 Baptist Way
Suite 103
Homestead, FL 33033-7600

Phone

(305) 245-4549

Fax

(305) 245-4590

NPI assigned

Oct 4, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Danette Torres, M.D.NPI 1164417069

Title

President

Phone

(305) 245-4549

Specialties & licenses 1

Addresses

Other identifiers 10

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

CLIA laboratory certificates

Tax ID family

Homestead Pediatric Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Homestead Pediatrics Association

  • Specialist
  • Homestead, FL
  • NPI 1568525749
  NPD tax ID

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/4018/brand/1/csg/1/fhir/r4

Practitioners 6

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

• Danette Torres, M.D.

  • Pediatrics Physician
  • Homestead, FL
  • NPI 1164417069
  NPD (past) Authorized official
• Doris Noelia Aguilar, M.D.

  • Pediatrics Physician
  • Homestead, FL
  • NPI 1417118027
  NPD (past)
• Diriam Iriarte Mijares, FNP

  • Family Nurse Practitioner
  • Homestead, FL
  • NPI 1801624176
  NPD (past)
• Rebeca Ann Kimsey Markovich, M.D.

  • Pediatrics Physician
  • Homestead, FL
  • NPI 1093081580
  NPD (past)
• Martha Beatriz Pernas, M.D.

  • Pediatrics Physician
  • Homestead, FL
  • NPI 1437144219
  NPD (past)
• Melanie Defatima Vega, MD

  • Pediatrics Physician
  • Homestead, FL
  • NPI 1558824714
  NPD (past)

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380326400000",
    "number": "1669469771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 BAPTIST WAY",
            "address_2": "SUITE 103",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337600",
            "telephone_number": "305-245-4549",
            "fax_number": "305-245-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 BAPTIST WAY",
            "address_2": "SUITE 103",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337600",
            "telephone_number": "305-245-4549",
            "fax_number": "305-245-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTEAD PEDIATRIC ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2013-09-28",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "DANETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-245-4549",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME83861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "29246",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "194198",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JMH",
            "identifier": "178147",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272565700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIMENSION",
            "identifier": "11071",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "297302",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISTA",
            "identifier": "SG078319/H922",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4554532",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP",
            "identifier": "52761-83861",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTHEALTH",
            "identifier": "5666752",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Homestead Medical Pharmacy Inc
• Homestead Medical Research, Inc.
• Homestead Mental Center LLC
• Homestead Mental Health Community Inc
• Homestead Modern Dentistry, PA
• Homestead Pediatrics Association
• Homestead Pharmacy Corp
• Homestead Rehabilitation Center Corp
• Homestead Research Mental Health Inc
• Homestead Therapeutic Care Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.