NPIMap

Organization Active NPI

Policlinico Pastorita Inc

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1891746525
Registry record updated Feb 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME49132 Issued in FL
Legal business name
POLICLINICO PASTORITA INC
Practice address
450 SW 8TH St
Miami, FL 33130-2814
Phone
(305) 860-0044
Fax
(305) 860-0171
NPI assigned
May 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2011

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

Authorized official

Name
Lazara M Sanchez
Title
Administrator
Phone
(305) 860-0044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X ME49132 FL Primary

Addresses

Primary practice location

450 SW 8TH St
Miami, FL 33130-2814

Mailing address

450 SW 8TH St
Miami, FL 33130-2814
Phone (305) 860-0044

Other identifiers 1

IdentifierTypeStateIssuer
94846OtherFLBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

450 SW 8th St
Miami, FL 33130
Phone (305) 860-0044

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297209600000",
    "number": "1891746525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331302814",
            "telephone_number": "305-860-0044",
            "fax_number": "305-860-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331302814",
            "telephone_number": "305-860-0044",
            "fax_number": "305-860-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLICLINICO PASTORITA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2011-02-09",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "LAZARA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-860-0044"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME49132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "94846",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; 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.