Miami Lakes Pediatrics PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MIAMI LAKES PEDIATRICS PLLC

Practice address

14400 NW 77TH CT Ste 102
Miami Lakes, FL 33016-1590

Phone

(305) 823-7768

Fax

(305) 823-2211

NPI assigned

May 21, 2019

Organization subpart

No

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

Authorized official

Name

Cristina Alfonso

Title

Practice Administrator

Phone

(305) 823-7768

Specialties & licenses 1

Addresses

Other identifiers 1

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

Miami Lakes Pediatrics PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Miami Lakes Pediatrics PLLC

  • Pediatrics Physician
  • Miami, FL
  • NPI 1083202550
  NPD tax ID
• Miami Lakes Pediatrics PLLC

  • Pediatrics Physician
  • Loxahatchee, FL
  • NPI 1366030835
  NPD tax ID

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Miami Lakes Pediatrics PLLC

  • Pediatrics Physician
  • Miami, FL
  • NPI 1083202550
  NPPES parent name
• Miami Lakes Pediatrics PLLC

  • Pediatrics Physician
  • Loxahatchee, FL
  • NPI 1366030835
  NPPES parent name

Practitioners 5

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

• Gerardo Felix Capote Duenas, MD

  • Pediatrics Physician
  • Miami, FL
  • NPI 1225234834
  NPD (past)
• Mayra Capote, MD

  • Pediatrics Physician
  • Miami Lakes, FL
  • NPI 1972573319
  NPD (past)
• Jason Feather, DO

  • Pediatrics Physician
  • Loxahatchee, FL
  • NPI 1679558613
  NPD (past)
• Ana Napoles-Ruiz, MD

  • Pediatrics Physician
  • Loxahatchee, FL
  • NPI 1275518227
  NPD (past)
• Caroll Virginia Sengelmann, PA

  • Physician Assistant
  • Miami Lakes, FL
  • NPI 1659630143
  NPD (past)

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650844800000",
    "number": "1861059248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14400 NW 77TH CT STE 102",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161590",
            "telephone_number": "305-823-7768",
            "fax_number": "305-823-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14400 NW 77TH CT STE 102",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161590",
            "telephone_number": "305-823-7768",
            "fax_number": "305-823-2211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1199 W Flagler St Ste 10",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331301055",
            "country_code": "US",
            "telephone_number": "305-326-8887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIAMI LAKES PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-21",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "ALFONSO",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "305-823-7768"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103180600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miami Lakes Health LLC
• Miami Lakes Home Health Care, Inc.
• Miami Lakes Med Spa LLC
• Miami Lakes Medical Center, LLC
• Miami Lakes Medical Supplies, Inc.
• Miami Lakes Periodontal and Cosmetic Center
• Miami Lakes Periodontal Associates
• Miami Lakes Rehab & Sports Therapy Center, Inc.
• Miami Lakes Rehab Services Inc
• Miami Lakes Senior Care, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.