Organization Active NPI

Norma B. Cornejo, M.D.P.a.

  • Pediatrics Physician
  • Miami Springs, FL
National Provider Identifier
1902263304
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME25014 Issued in FL
Legal business name
NORMA B. CORNEJO, M.D.P.A.
Practice address
215 Westward Dr
Miami Springs, FL 33166-5259
Phone
(305) 885-1792
NPI assigned
Jan 15, 2016
Last updated
Jan 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Authorized official

Name
Dr. Norma B Cornejo, M.D.NPI 1689759375
Title
Owner
Phone
(305) 885-1792

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X ME25014 FL Primary

Addresses

Primary practice location

215 Westward Dr
Miami Springs, FL 33166-5259

Mailing address

215 Westward Dr
Miami Springs, FL 33166-5259
Phone (305) 885-1792

Other identifiers 1

IdentifierTypeStateIssuer
267464500MedicaidFL

National Provider Directory

National Provider Directory

Locations

215 Westward Dr
Miami Springs, FL 33166
Phone (305) 885-1792

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1902263304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 WESTWARD DR",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331665259",
            "telephone_number": "305-885-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 WESTWARD DR",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331665259",
            "telephone_number": "305-885-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMA B. CORNEJO, M.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "CORNEJO",
        "authorized_official_first_name": "NORMA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-885-1792",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME25014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267464500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; 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.