Individual provider Active NPI

Emilio Pando, MD

  • Internal Medicine Physician
  • Miramar, FL
National Provider Identifier
1710920400
Registry record updated Oct 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME88968 Issued in FL
Practice address
12781 Miramar Pkwy Ste 206
Miramar, FL 33027-2908
Phone
(954) 450-0228
Fax
(954) 450-7399
NPI assigned
Jun 13, 2006
Last updated
Oct 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME88968 FL Primary

Addresses

Primary practice location

12781 Miramar Pkwy Ste 206
Miramar, FL 33027-2908

Mailing address

12781 Miramar Pkwy Ste 206
Miramar, FL 33027-2908
Phone (954) 450-0228

Other identifiers 1

IdentifierTypeStateIssuer
270280100MedicaidFL

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
I20040930000773 FL Practitioner - Internal Medicine 1052380508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12781 Miramar Pkwy
Suite 206
Miramar, FL 33027-2908
Phone (954) 450-0228

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emilio Pando MD PA Internal Medicine CurrentSince Mar 6, 2006 Accepting new patients

Locations

12781 Miramar Pkwy
Ste 206
Miramar, FL 33027
Phone (954) 369-5717

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634342400000",
    "number": "1710920400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12781 MIRAMAR PKWY STE 206",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330272908",
            "telephone_number": "954-450-0228",
            "fax_number": "954-450-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12781 MIRAMAR PKWY STE 206",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330272908",
            "telephone_number": "954-450-0228",
            "fax_number": "954-450-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDO",
        "first_name": "EMILIO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2021-10-16",
        "certification_date": "2021-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME88968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270280100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.