Organization Active NPI

Enrique Pelayo MD PA

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1851582670
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ENRIQUE PELAYO MD PA
Practice address
8780 SW 8TH St
Miami, FL 33174-3201
Phone
(305) 554-6198
Fax
(305) 554-6199
NPI assigned
Aug 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Authorized official

Name
Dr. Enrique Pelayo Jr., M.D.NPI 1932135100
Title
Physician
Phone
(305) 554-6198

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary
Medical Specialty Clinic/Center 261QM2500X

Addresses

Primary practice location

8780 SW 8TH St
Miami, FL 33174-3201

Mailing address

8780 SW 8TH St
Miami, FL 33174-3201
Phone (305) 554-6198

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071001000359 FL Part B Supplier - Clinic/Group Practice 0648365064 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1104500Enrique Pelayo MD8780 SW 8TH St, Suite 22, Miami, FL 33174Certificate of waiverApr 25, 2027

National Provider Directory

National Provider Directory

Locations

8780 SW 8th St
Miami, FL 33174
Phone (305) 554-6198

8780 SW 8th St
Ste 22
Miami, FL 33174

8780 SW 8th St
#22
Miami, FL 33174
Phone (305) 554-6198

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1851582670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8780 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331743201",
            "telephone_number": "305-554-6198",
            "fax_number": "305-554-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8780 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331743201",
            "telephone_number": "305-554-6198",
            "fax_number": "305-554-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENRIQUE PELAYO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "PELAYO",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "305-554-6198",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.