NPIMap

Individual provider Active NPI

Pedro P Valdes Lugones, PA

  • Medical Physician Assistant
  • Hialeah, FL
National Provider Identifier
1700068459
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9000008 Issued in FL
Practice address
5190 NW 167TH St
Ste 109
Hialeah, FL 33014-6328
Phone
(305) 620-4929
Fax
(305) 620-4954
NPI assigned
Dec 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9000008 FL Primary

Addresses

Primary practice location

5190 NW 167TH St
Ste 109
Hialeah, FL 33014-6328

Mailing address

5190 NW 167TH St
Ste 109
Hialeah, FL 33014-6328
Phone (305) 620-4929

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)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pedro a. Rodriguez M.D., P.a. Past Accepting new patients
Psychological Consulting, Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1700068459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5190 NW 167TH ST",
            "address_2": "STE 109",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330146328",
            "telephone_number": "305-620-4929",
            "fax_number": "305-620-4954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5190 NW 167TH ST",
            "address_2": "STE 109",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330146328",
            "telephone_number": "305-620-4929",
            "fax_number": "305-620-4954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDES LUGONES",
        "first_name": "PEDRO",
        "middle_name": "P",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9000008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.