Active NPI
Kidney Care Plus Inc
- Nephrology Physician
- Pembroke Pines, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- ME105945
- Legal business name
- KIDNEY CARE PLUS INC
- Practice address
- 1 SW 129TH Ave Ste 405
Pembroke Pines, FL 33027-1718 - Phone
- (954) 228-8180
- Fax
- (954) 228-8183
- NPI assigned
- Feb 20, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Pedro Hernandez Lopez, M.D.
- Title
- Director
- Phone
- (954) 668-3101
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ME105945 | FL | Primary |
Addresses
Primary practice location
1 SW 129TH Ave Ste 405
Pembroke Pines, FL 33027-1718
Mailing address
4408 SW 195TH Ter
Miramar, FL 33029-6201
Phone (954) 668-3101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
777 E 25th St
Ste 201
Hialeah, FL 33013
Phone (305) 696-8802
1871 SW 22nd St
Miami, FL 33145
Phone (305) 856-8060
4805 NW 183rd St
Miami Gardens, FL 33055
Phone (305) 620-9261
2501 SW 160th Ave
Miramar, FL 33027
Networks
- HealthSun Health Plans Network
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Pembroke Pines, FL
- NPI 1649498569
-
- Nephrology Physician
- Pembroke Pines, FL
- NPI 1750672135
-
- Nephrology Physician
- Pembroke Pines, FL
- NPI 1992919526
-
- Nephrology Physician
- Coral Gables, FL
- NPI 1114555372
-
- Family Nurse Practitioner
- Pembroke Pines, FL
- NPI 1083165369
-
- Physician Assistant
- Pembroke Pines, FL
- NPI 1275152076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716940800000",
"number": "1881934347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4408 SW 195TH TER",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330296201",
"telephone_number": "954-668-3101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SW 129TH AVE STE 405",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330271718",
"telephone_number": "954-228-8180",
"fax_number": "954-228-8183"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDNEY CARE PLUS INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-20",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A",
"authorized_official_last_name": "HERNANDEZ LOPEZ",
"authorized_official_first_name": "PEDRO",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "954-668-3101",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "FL",
"license": "ME105945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.