Individual provider Active NPI

Pedro Rafael Mastrodomenico Sanchez, MD

  • Obstetrics & Gynecology Physician
  • Aventura, FL
National Provider Identifier
1700449121
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME160076 Issued in FL
Practice address
21110 Biscayne Blvd Ste 312
Aventura, FL 33180-1229
Phone
(305) 933-3030
Fax
(305) 933-1436
NPI assigned
Apr 22, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME160076 FL Primary

Addresses

Primary practice location

21110 Biscayne Blvd Ste 312
Aventura, FL 33180-1229

Mailing address

PO Box 818018
Cleveland, OH 44181-8018

Other practice location 1

3042 N Federal Hwy Ste 100
Fort Lauderdale, FL 33306-1400
Phone (954) 776-4877

Other practice location 2

700 W Hallandale Beach Blvd
Hallandale Beach, FL 33009-5333
Phone (954) 456-5680

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230605001929 FL Practitioner - Obstetrics/Gynecology 7911364088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians

Practice addresses (Care Compare)

700 W Hallandale Beach Blvd
Hallandale Beach, FL 33009-5333
Phone (954) 456-5680

Merit-based Incentive Payment System (MIPS)

Final score
88.76 of 100Reported as group
Quality
84.84
Promoting interoperability
100
Improvement activities
40
Cost
77.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Woman Care, LLC Obstetrics & Gynecology CurrentSince Jul 15, 2023 Accepting new patients
Womencare PA PastSince Jul 15, 2023 Accepting new patients

Locations

2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233

700 W Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 456-5680

21110 Biscayne Blvd
Ste 312
Miami, FL 33180
Phone (305) 933-3030

Interoperability endpoints

  • Direct secure messaging: pedro.mastrodomenico.1@2183.direct.athenahealth.com

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": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1700449121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 818018",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441818018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21110 BISCAYNE BLVD STE 312",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801229",
            "telephone_number": "305-933-3030",
            "fax_number": "305-933-1436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3042 N Federal Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333061400",
            "country_code": "US",
            "telephone_number": "954-776-4877",
            "fax_number": "954-776-1399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 W Hallandale Beach Blvd",
            "address_purpose": "LOCATION",
            "city": "Hallandale Beach",
            "state": "FL",
            "postal_code": "330095333",
            "country_code": "US",
            "telephone_number": "954-456-5680",
            "fax_number": "954-456-5682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASTRODOMENICO SANCHEZ",
        "first_name": "PEDRO",
        "middle_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-22",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME160076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.