Individual provider Active NPI

Sonia Pillar Madrazo-Rico, MD

  • Pediatrics Physician
  • Orlando, FL
National Provider Identifier
1881610210
Registry record updated Jun 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME0058693 Issued in FL
Practice address
7975 Lake Underhill Road
Suite 200
Orlando, FL 32822
Phone
(407) 303-6830
Fax
(407) 303-6839
NPI assigned
Jul 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME 58693 FL
Pediatrics Physician 208000000X ME0058693 FL Primary

Addresses

Primary practice location

7975 Lake Underhill Road
Suite 200
Orlando, FL 32822

Mailing address

7975 Lake Underhill Road
Suite 200
Orlando, FL 32822
Phone (407) 303-6830

Other identifiers 1

IdentifierTypeStateIssuer
051646500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100330000847 FL Practitioner - Pediatric Medicine 4688700552 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 58693FLMDPediatrics Physician
ME0058693FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc Pediatrics CurrentSince Feb 28, 2017 Accepting new patients
Adventist Health System-Sunbelt, Inc CurrentSince Jun 9, 2010 Accepting new patients
Adventist Health Systems Sunbelt Inc Pediatrics CurrentSince Jun 9, 2010 Accepting new patients
Adventist Health System Sunbelt Inc Pediatrics Current Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Feb 28, 2017 Accepting new patients
Adventist Health Systems Sunbelt Inc Past Accepting new patients
Adventist Health System Sunbelt Inc Past Accepting new patients

Locations

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

2501 N Orange Ave
Ste 235
Orlando, FL 32804
Phone (407) 303-1967

7975 Lake Underhill Rd
Ste 200
Orlando, FL 32822
Phone (407) 303-5990

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403827200000",
    "number": "1881610210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7975 LAKE UNDERHILL ROAD",
            "address_2": "SUITE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32822",
            "telephone_number": "407-303-6830",
            "fax_number": "407-303-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7975 LAKE UNDERHILL ROAD",
            "address_2": "SUITE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32822",
            "telephone_number": "407-303-6830",
            "fax_number": "407-303-6839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADRAZO-RICO",
        "first_name": "SONIA",
        "middle_name": "PILLAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2014-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME 58693",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0058693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051646500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.