Organization Active NPI

Pedro a Sevilla, MD, PA

  • Specialist
  • Miami, FL
National Provider Identifier
1801177373
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME107719 Issued in FL
Legal business name
PEDRO A SEVILLA, MD, PA
Practice address
9066 SW 73Rd CT
Suite 2009
Miami, FL 33156-2964
Phone
(305) 458-9555
NPI assigned
Aug 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Authorized official

Name
Dr. Pedro A Sevilla Saez-Benito, M.D.
Title
Owner
Phone
(305) 458-9555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X ME107719 FL Primary

Addresses

Primary practice location

9066 SW 73Rd CT
Suite 2009
Miami, FL 33156-2964

Mailing address

9066 SW 73Rd CT
Suite 2009
Miami, FL 33156-2964

Other identifiers 1

IdentifierTypeStateIssuer
ME107719OtherFLMEDICAL LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314576000000",
    "number": "1801177373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9066 SW 73RD CT",
            "address_2": "SUITE 2009",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9066 SW 73RD CT",
            "address_2": "SUITE 2009",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562964",
            "telephone_number": "305-458-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDRO A SEVILLA, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-29",
        "last_updated": "2011-08-29",
        "status": "A",
        "authorized_official_last_name": "SEVILLA SAEZ-BENITO",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-458-9555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME107719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME107719",
            "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 Aug 29, 2011; 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.