Evelyn Judith Pedrosa, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME 79839 Issued in FL

Practice address

100 West Gore Street
Suite 305
Orlando, FL 32806

Phone

(407) 422-2255

Fax

(407) 839-4659

NPI assigned

Sep 5, 2006

Last updated

Oct 6, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: evelyn.pedrosa.1@31445.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Orlando Pediatrics PLLC

  • Pediatrics Physician
  • Orlando, FL
  • NPI 1922370972
  NPD (past)

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1801998216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WEST GORE STREET",
            "address_2": "SUITE 305",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32806",
            "telephone_number": "407-422-2255",
            "fax_number": "407-839-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WEST GORE STREET",
            "address_2": "SUITE 305",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32806",
            "telephone_number": "407-422-2255",
            "fax_number": "407-839-4659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDROSA",
        "first_name": "EVELYN",
        "middle_name": "JUDITH",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME 79839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263340000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anella Anne Pedigree
• Sandra Liliana Pedraza Cardozo, M.D.
• Marilen Pedraza Roger, COTA
• Kareema Pedraza
• Mildred Elizabeth Pedraza, PSYD
• Tamara Pedroso Marquez, APRN
• Yanet Pedroso Mesa
• Sarah Pedroza
• Peds to Go Inc (ChildrenFirst Home Health Care Services)
• Hayden Alexander Peek

• Pediatrics Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.