South Florida Pediatric Group Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

SOUTH FLORIDA PEDIATRIC GROUP INC

Practice address

6222 SW 8 St.
Miami, FL 33144-4810

Phone

(305) 221-5115

Fax

(305) 221-5282

NPI assigned

Nov 27, 2007

Organization subpart

No

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

Authorized official

Name

Avis Capote, MDNPI 1972558625

Title

Owner

Phone

(305) 302-3877

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

South Florida Pediatric Group Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• South Florida Pediatric Group, Inc.

  • Pediatrics Physician
  • Miami, FL
  • NPI 1972701639
  NPD tax ID

Locations

Practitioners 4

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

• Avis Teresita Capote, MD

  • Pediatrics Physician
  • West Miami, FL
  • NPI 1972558625
  NPD (past) Authorized official
• Jorge Luis Luaces, MD

  • Pediatrics Physician
  • West Miami, FL
  • NPI 1437195757
  NPD (past)
• Andres Sanchez Cuellar

  • Family Nurse Practitioner
  • West Miami, FL
  • NPI 1174226112
  NPD (past)
• Ivan Vivanco Echevarria, APRN

  • Family Nurse Practitioner
  • Orlando, FL
  • NPI 1114418878
  NPD (past)

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417737600000",
    "number": "1821279357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6222 SW 8 ST.",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331444810",
            "telephone_number": "305-221-5115",
            "fax_number": "305-221-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6222 SW 8 ST.",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331444810",
            "telephone_number": "305-221-5115",
            "fax_number": "305-221-5282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA PEDIATRIC GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2014-12-05",
        "status": "A",
        "authorized_official_last_name": "CAPOTE",
        "authorized_official_first_name": "AVIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-302-3877",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Florida Nurse Home Health Agency
• South Florida Occupational Medical Center
• South Florida Occupational Medical Center
• South Florida Orthopaedic & Knee Institute
• South Florida Pain & Rehabilitation of West Dade LLC
• South Florida Pediatric Group, Inc.
• South Florida Pediatric Urology LLP
• South Florida Physiatry LLC
• South Florida Physician Network, LLC
• South Florida Physician Specialists LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.