Organization Active NPI

Jose I. Pradere, MD PA

  • Pediatrics Physician
  • Miami, FL
National Provider Identifier
1780077032
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME28209 Issued in FL
Legal business name
JOSE I. PRADERE, MD PA
Practice address
815 NW 57TH Ave Ste 110
Miami, FL 33126-2041
Phone
(305) 856-6371
Fax
(305) 262-2545
NPI assigned
Mar 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Authorized official

Name
Diana K. Arauz
Title
Manager
Phone
(305) 856-6371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X ME28209 FL Primary

Addresses

Primary practice location

815 NW 57TH Ave Ste 110
Miami, FL 33126-2041

Mailing address

815 NW 57TH Ave Ste 110
Miami, FL 33126-2041
Phone (305) 856-6371

Other identifiers 1

IdentifierTypeStateIssuer
037177700MedicaidFL

National Provider Directory

National Provider Directory

Locations

815 NW 57th Ave
Ste 110
Miami, FL 33126
Phone (305) 267-8885

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1780077032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 NW 57TH AVE STE 110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262041",
            "telephone_number": "305-856-6371",
            "fax_number": "305-262-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 NW 57TH AVE STE 110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262041",
            "telephone_number": "305-856-6371",
            "fax_number": "305-262-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE I. PRADERE, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "ARAUZ",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-856-6371"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME28209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037177700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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.