Active NPI
Pediatric Health Center
- Pediatrics Physician
- Miramar, FL
National Provider Identifier
1902011141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME 77924
- Legal business name
- PEDIATRIC HEALTH CENTER
- Practice address
- 1951 SW 172ND Ave
Miramar, FL 33029-5593 - Phone
- (954) 441-1144
- NPI assigned
- May 11, 2007
- 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
- Rogerio Serrano Faillace, M.D
- Title
- President
- Phone
- (954) 441-1144
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME 77924 | FL | Primary |
Addresses
Primary practice location
1951 SW 172ND Ave
Miramar, FL 33029-5593
Mailing address
5042 SW 173Rd Ave.
Miramar, FL 33029
Phone (954) 441-1144
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1902011141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5042 SW 173RD AVE.",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "33029",
"telephone_number": "954-441-1144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1951 SW 172ND AVE",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330295593",
"telephone_number": "954-441-1144"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FAILLACE",
"authorized_official_first_name": "ROGERIO",
"authorized_official_middle_name": "SERRANO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-441-1144",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "FL",
"license": "ME 77924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.