NPIMap

Organization Active NPI

Miami Pediatric Hematology Oncology Associates

  • Pediatric Hematology & Oncology Physician
  • Miami, FL
National Provider Identifier
1679826804
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
ME53246 Issued in FL
Legal business name
MIAMI PEDIATRIC HEMATOLOGY ONCOLOGY ASSOCIATES
Practice address
3100 SW 62ND Ave Ste 121
Miami, FL 33155-3009
Phone
(305) 662-8360
Fax
(833) 464-4214
NPI assigned
Oct 25, 2012
Organization subpart
Yes
Parent organization
KIDZ MEDICAL SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Authorized official

Name
Dr. Jorge Perez, MD
Title
Co-Owner
Phone
(305) 661-1515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0207X ME53246 FL Primary

Addresses

Primary practice location

3100 SW 62ND Ave Ste 121
Miami, FL 33155-3009

Mailing address

5955 Ponce de Leon Blvd
Coral Gables, FL 33146-2423
Phone (305) 661-1515

National Provider Directory

National Provider Directory
Tax ID family
Kidz Medical Services9 organizations share this tax ID, including this one
Part of
Kidz Pediatric Multispecialty

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1679826804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 PONCE DE LEON BLVD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462423",
            "telephone_number": "305-661-1515",
            "fax_number": "305-662-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 SW 62ND AVE STE 121",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553009",
            "telephone_number": "305-662-8360",
            "fax_number": "833-464-4214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI PEDIATRIC HEMATOLOGY ONCOLOGY ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KIDZ MEDICAL SERVICES, INC.",
        "enumeration_date": "2012-10-25",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "305-661-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "FL",
            "license": "ME53246",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.