University of Miami
Organization Active NPI Pediatric Cardiology Physician · Miami, FL
NPI 1891745402 · NPPES record last updated Dec 31, 2019
Key facts
- NPI
- 1891745402
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Cardiology Physician 2080P0202X
- Legal business name
- UNIVERSITY OF MIAMI
- Practice address
- 1601 NW 12TH Ave
Box 016960 M851
Miami, FL 33136-1005 - Phone
- (305) 243-7688
- Fax
- (305) 243-8470
- NPI assigned
- May 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Cesia A Sanchez
- Title
- Provider Enrollment Manager
- Phone
- (305) 243-6837
Corporate family (same tax ID) 20
Practitioners 15
-
Jaime Alkon, MD
-
Gary D Berkovitz, MD
-
Patricia Gomez, M.D.
-
Hugh Jose Ladd, M.D.
-
Desiree M M S Machado, M.D.
-
Saribel Garcia Quinones, DNP, PNP
-
Nai Yu Tang, MD
-
Shailendra Upadhyay, M.D.
-
Simon E Valladares, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200406001006 | FL | Part B Supplier - Clinic/Group Practice | 3274795109 |
Receives reassigned benefits from 3,555 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Umdc
Locations
15155 SW 97th Ave
Ste 240
Miami, FL 33176
1611 NW 12th Ave
#7A
Miami, FL 33136
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician |
2080P0202X | Yes |
Addresses
Primary practice location
1601 NW 12TH Ave
Box 016960 M851
Miami, FL 33136-1005
Mailing address
1601 NW 12TH Ave
Box 016960 M851
Miami, FL 33136-1005
Phone (305) 243-7688
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0606758-00 | Medicaid | FL |
Other names
- UMiami Medicine - Pedi Cardiology
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All providers in Miami, FL · Pediatric Cardiology Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 31, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.