Active NPI
Javier Sobrado, M.D.
- Gastroenterology Physician
- Miami, FL
National Provider Identifier
1689636391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME0056369
- Practice address
- 8525 SW 92ND St
Suite D-17
Miami, FL 33156-7365 - Phone
- (305) 270-0402
- Fax
- (305) 595-6179
- NPI assigned
- Apr 6, 2006
- Last updated
- Feb 22, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ME0056369 | FL | Primary |
Addresses
Primary practice location
8525 SW 92ND St
Suite D-17
Miami, FL 33156-7365
Mailing address
8525 SW 92ND St
Suite D-17
Miami, FL 33156-7365
Phone (305) 270-0402
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038501800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nova Gastro Group LLC | Gastroenterology | Current | Accepting new patients |
| Hope Health Services Inc | Past | Accepting new patients | |
| Pelican Anesthesia LLC | Past | Accepting new patients | |
| Centro Medico of Sweetwater | Past | Accepting new patients |
Locations
11420 N Kendall Dr
Ste 207
Miami, FL 33176
Phone (786) 715-9183
8260 W Flagler St
Ste 1A
West Miami, FL 33144
Phone (305) 220-4425
Organizations & group practices 4
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.
-
- Gastroenterology Physician
- Miami, FL
- NPI 1124815196
-
- Health Maintenance Organization
- Miami, FL
- NPI 1881812667
-
- Psychiatry Physician
- Miami, FL
- NPI 1194916296
-
dba Pelican Anesthesia
- Certified Registered Nurse Anesthetist
- Coral Gables, FL
- NPI 1720386402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266796800000",
"number": "1689636391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8525 SW 92ND ST",
"address_2": "SUITE D-17",
"city": "MIAMI",
"state": "FL",
"postal_code": "331567365",
"telephone_number": "305-270-0402",
"fax_number": "305-595-6179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8525 SW 92ND ST",
"address_2": "SUITE D-17",
"city": "MIAMI",
"state": "FL",
"postal_code": "331567365",
"telephone_number": "305-270-0402",
"fax_number": "305-595-6179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOBRADO",
"first_name": "JAVIER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2010-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME0056369",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "038501800",
"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 Feb 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.