Organization Active NPI

Vero Beach Pediatrics, LLC

  • Pediatrics Physician
  • Vero Beach, FL
National Provider Identifier
1750035739
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
VERO BEACH PEDIATRICS, LLC
Practice address
959 37TH PL
Vero Beach, FL 32960-6541
Phone
(772) 226-6878
NPI assigned
Feb 8, 2022
Last updated
May 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Authorized official

Name
Jessica Cruz, MDNPI 1790072171
Title
Partner
Phone
(772) 569-3212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

959 37TH PL
Vero Beach, FL 32960-6541

Mailing address

959 37TH PL
Vero Beach, FL 32960-6541
Phone (772) 226-6878

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1750035739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 37TH PL",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606541",
            "telephone_number": "772-226-6878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 37TH PL",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606541",
            "telephone_number": "772-226-6878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERO BEACH PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "772-569-3212",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.