NPIMap

Organization Active NPI

South Dade Neonatology

  • Neonatal-Perinatal Medicine Physician
  • Coral Gables, FL
National Provider Identifier
1841369006
Registry record updated Jan 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
Legal business name
SOUTH DADE NEONATOLOGY
Practice address
215 Grand Ave
Coral Gables, FL 33133-4841
Phone
(305) 441-7179
Fax
(305) 448-7134
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2011

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

Authorized official

Name
Ernesto Valdes, MDNPI 1558310045
Title
Partner
Phone
(305) 441-7179

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080N0001X Primary

Addresses

Primary practice location

215 Grand Ave
Coral Gables, FL 33133-4841

Mailing address

PO Box 43-2620
South Miami, FL 33243-2620
Phone (305) 441-7179

Other identifiers 2

IdentifierTypeStateIssuer
38734OtherFLBC BS
256644300MedicaidFL

National Provider Directory

National Provider Directory

Locations

215 Grand Ave
Coral Gables, FL 33133
Phone (305) 441-7179

Practitioners & affiliated clinicians

Practitioners 48

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296086400000",
    "number": "1841369006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43-2620",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "332432620",
            "telephone_number": "305-441-7179",
            "fax_number": "305-448-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 GRAND AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331334841",
            "telephone_number": "305-441-7179",
            "fax_number": "305-448-7134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH DADE NEONATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2011-01-27",
        "status": "A",
        "authorized_official_last_name": "VALDES",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "305-441-7179",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "38734",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256644300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.