Active NPI
University of Miami
- Pediatric Surgery Physician
- Miami, FL
National Provider Identifier
1821049982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- Legal business name
- UNIVERSITY OF MIAMI
- Practice address
- 1611 NW 12TH Ave
Box 016960 M851
Miami, FL 33136-1005 - Phone
- (305) 243-7688
- Fax
- (305) 243-8470
- NPI assigned
- May 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cesia A Sanchez
- Title
- Manager, Provider Enrollment
- Phone
- (305) 243-6837
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Surgery Physician | 2086S0120X | Primary |
Addresses
Primary practice location
1611 NW 12TH Ave
Box 016960 M851
Miami, FL 33136-1005
Mailing address
1611 NW 12TH Ave
Box 016960 M851
Miami, FL 33136-1005
Phone (305) 243-7688
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0378119-00 | Medicaid | FL |
Other names 1
- UMiami Medicine - Pediatric Surgery
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7400 NW 104th Ave
Doral, FL 33178
Phone (305) 585-9250
901 NW 17th St
Miami, FL 33136
Phone (305) 585-5890
8932 SW 97th Ave
Ste Cd
Miami, FL 33176
Phone (305) 243-2247
9380 SW 150th St
Ste 290B
Miami, FL 33176
Phone (305) 233-0011
9333 SW 152nd St
Ste 420
Palmetto Bay, FL 33157
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Miami, FL
- NPI 1275625840
-
- Physician Assistant
- Miami, FL
- NPI 1205502051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147478400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1577750400000",
"number": "1821049982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 NW 12TH AVE",
"address_2": "BOX 016960 M851",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361005",
"telephone_number": "305-243-7688",
"fax_number": "305-243-8470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 NW 12TH AVE",
"address_2": "BOX 016960 M851",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361005",
"telephone_number": "305-243-7688",
"fax_number": "305-243-8470"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY OF MIAMI",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-13",
"last_updated": "2019-12-31",
"certification_date": "2019-12-31",
"status": "A",
"authorized_official_last_name": "SANCHEZ",
"authorized_official_first_name": "CESIA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MANAGER, PROVIDER ENROLLMENT",
"authorized_official_telephone_number": "305-243-6837"
},
"taxonomies": [
{
"code": "2086S0120X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Pediatric Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0378119-00",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "UMiami Medicine - Pediatric Surgery",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Dec 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.