Organization Active NPI

Pedro Kiliddjian,M.D.,P.a.

  • Surgery Physician
  • Coral Gables, FL
National Provider Identifier
1740376342
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
PEDRO KILIDDJIAN,M.D.,P.A.
Practice address
2016 SW Douglas Rd Suite 601
Coral Gables, FL 33134
Phone
(305) 446-6414
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Pedro Kiliddjian, MD
Title
MD
Phone
(305) 446-6414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

2016 SW Douglas Rd Suite 601
Coral Gables, FL 33134

Mailing address

5560 SW 8 St
Miami, FL 33134
Phone (305) 446-6414

National Provider Directory

National Provider Directory

Locations

5560 SW 8th St
Coral Gables, FL 33134
Phone (305) 446-2096

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740376342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5560 SW 8 ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33134",
            "telephone_number": "305-446-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 SW DOUGLAS RD SUITE 601",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "33134",
            "telephone_number": "305-446-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDRO KILIDDJIAN,M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KILIDDJIAN",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "305-446-6414",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.