NPIMap

Organization Active NPI

Pelican Anesthesia LLC

Doing business as Pelican Anesthesia

  • Certified Registered Nurse Anesthetist
  • Coral Gables, FL
National Provider Identifier
1720386402
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
PELICAN ANESTHESIA LLC
Doing business as
Pelican Anesthesia
Practice address
5101 SW 8TH Street
Suite 201
Coral Gables, FL 33134-2442
Phone
(305) 262-6060
Fax
(305) 262-6038
NPI assigned
Mar 4, 2011
Last updated
Jan 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Authorized official

Name
Gladys Llano
Title
Coo
Phone
(305) 262-6060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X FL Primary

Addresses

Primary practice location

5101 SW 8TH Street
Suite 201
Coral Gables, FL 33134-2442

Mailing address

5101 SW 8TH Street
Suite 201
Coral Gables, FL 33134-2442
Phone (305) 262-6060

Other identifiers 2

IdentifierTypeStateIssuer
G9008OtherFLBCBS OF FLORIDA
005487400MedicaidFL

Other names 1

  • Pelican Anesthesia Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110511000606 FL Part B Supplier - Clinic/Group Practice 0244416022 Receives reassigned benefits from 51 practitioners
Practice locations: Coral Gables, FL

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

5101 SW 8th St
Ste 100
Coral Gables, FL 33134

5101 SW 8th St
Ste 201
Coral Gables, FL 33134
Phone (305) 262-6060

Practitioners & affiliated clinicians

Practitioners 56

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.

View all 56

NPI Registry JSON

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

{
    "created_epoch": "1299196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1720386402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 SW 8TH STREET",
            "address_2": "SUITE 201",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342442",
            "telephone_number": "305-262-6060",
            "fax_number": "305-262-6038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 SW 8TH STREET",
            "address_2": "SUITE 201",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342442",
            "telephone_number": "305-262-6060",
            "fax_number": "305-262-6038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELICAN ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-04",
        "last_updated": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "LLANO",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "305-262-6060"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "G9008",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005487400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pelican Anesthesia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.