Andrew Pereda, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9109728 Issued in FL

Practice address

4631 SW 156TH PL
Miami, FL 33185-5246

Phone

(305) 431-1917

NPI assigned

Sep 20, 2016

Last updated

Sep 20, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1710435631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4631 SW 156TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855246",
            "telephone_number": "305-431-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4631 SW 156TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855246",
            "telephone_number": "305-431-1917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREDA",
        "first_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-20",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9109728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sulay Pereda Padilla
• Amanda Pereda Perez
• Andro Pereda Perez
• Alejandro Enrique Pereda, D.M.D
• Alex Pereda, P.T.
• Christopher A Pereda, RBT
• Karla Pereda
• Maidelyn Pereda
• Maria De Jesus Pereda
• Maricela Pereda, M.S.

• Physician Assistant in Miami, FL
• Providers in Miami, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.