Evolve Pediatric Ppec, LLC

Primary specialty

Medically Fragile Infants and Children Day CareTaxonomy code 261QM3000X

Legal business name

EVOLVE PEDIATRIC PPEC, LLC

Practice address

15273 SW 28TH Ter
Miami, FL 33185-5673

Phone

(786) 443-9749

Fax

(786) 353-2757

NPI assigned

Jun 9, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Victor M Pena

Title

Authorized Official

Phone

(786) 443-9749

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623196800000",
    "number": "1841867645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15273 SW 28TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855673",
            "telephone_number": "786-443-9749",
            "fax_number": "786-353-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15273 SW 28TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855673",
            "telephone_number": "786-443-9749",
            "fax_number": "786-353-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE PEDIATRIC PPEC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "786-443-9749",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Armando Tomas Evora, FNP
• Leannet Evora
• Ew Complete Care Inc
• Ewaldo Wendler DDS PLLC

• Medically Fragile Infants and Children Day Care in Miami, FL
• Providers in Miami, FL by specialty
• Medically Fragile Infants and Children Day Care in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.