Organization Active NPI

Sunny Isles Pediatrics, PA

  • Primary Care Clinic/Center
  • Sunny Isles Beach, FL
National Provider Identifier
1700185873
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME79171 Issued in FL
Legal business name
SUNNY ISLES PEDIATRICS, PA
Practice address
17395 N Bay Rd
Suite 203
Sunny Isles Beach, FL 33160-3334
Phone
(786) 230-6127
Fax
(305) 825-2163
NPI assigned
Mar 15, 2011
Last updated
Mar 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Authorized official

Name
Mrs. Miriam Estevez, MDNPI 1770505935
Title
President
Phone
(786) 230-6127

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME79171 FL Primary

Addresses

Primary practice location

17395 N Bay Rd
Suite 203
Sunny Isles Beach, FL 33160-3334

Mailing address

17395 N Bay Rd
Suite 203
Sunny Isles Beach, FL 33160-3334
Phone (786) 230-6127

Other identifiers 1

IdentifierTypeStateIssuer
260364100MedicaidFL

National Provider Directory

National Provider Directory

Locations

240 174th St
Ste 203
Sunny Isles Beach, FL 33160
Phone (305) 932-4420

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1700185873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17395 N BAY RD",
            "address_2": "SUITE 203",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331603334",
            "telephone_number": "786-230-6127",
            "fax_number": "305-825-2163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17395 N BAY RD",
            "address_2": "SUITE 203",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331603334",
            "telephone_number": "786-230-6127",
            "fax_number": "305-825-2163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY ISLES PEDIATRICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-15",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "ESTEVEZ",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-230-6127",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME79171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260364100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunny Isles Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.