Miami Shores Pediatrics, Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MIAMI SHORES PEDIATRICS, INC

Practice address

9715 NE 2ND Ave
Miami Shores, FL 33138-2310

Phone

(305) 757-8040

Fax

(305) 757-8011

NPI assigned

Mar 23, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Laura Fernandez Ortiz, MD

Title

President

Phone

(305) 757-8040

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523232000000",
    "number": "1881198737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9715 NE 2ND AVE",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382310",
            "telephone_number": "305-757-8040",
            "fax_number": "305-757-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9715 NE 2ND AVE",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382310",
            "telephone_number": "305-757-8040",
            "fax_number": "305-757-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI SHORES PEDIATRICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-23",
        "last_updated": "2018-04-09",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ ORTIZ",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-757-8040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1548776503",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miami Shores Medical Group LLC
• Miami Shores Modern Dentistry, PA (Miami Shores Modern Dentistry)
• Miami Shores Neurology & Sleep Institute, LLC
• Miami Shores Optical Inc.
• Miami Shores Pediatrics
• Miami VA Medical Health Center
• Midland Medical Miami Shores Inc
• Nicolas Michael Milano, R.N.
• Jeffrey A Miller, LCSW
• Mindful Directions Counseling Center

• Pediatrics Physician in Miami Shores, FL
• Providers in Miami Shores, 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 9, 2018; 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.