Organization Active NPI

PNS of Florida Iiii, LLC

  • Specialist
  • Doral, FL
National Provider Identifier
1811585748
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PNS OF FLORIDA IIII, LLC
Practice address
8323 NW 12TH St Ste 216
Doral, FL 33126-1840
Phone
(305) 284-7484
NPI assigned
Jan 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Authorized official

Name
Dr. Jose Pelayo
Title
President
Phone
(305) 284-7484

Specialties & licenses 1

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

Addresses

Primary practice location

8323 NW 12TH St Ste 216
Doral, FL 33126-1840

Mailing address

8323 NW 12TH St Ste 216
Doral, FL 33126-1840

National Provider Directory

National Provider Directory

Locations

8323 NW 12th St
Ste 216
Doral, FL 33126
Phone (305) 224-1929

NPI Registry JSON

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609891200000",
    "number": "1811585748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8323 NW 12TH ST STE 216",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8323 NW 12TH ST STE 216",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261840",
            "telephone_number": "305-284-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PNS OF FLORIDA IIII, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A",
        "authorized_official_last_name": "PELAYO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-284-7484",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.