Individual provider Active NPI

Pablo E. Uribasterra, MD

  • Obstetrics & Gynecology Physician
  • Pembroke Pines, FL
National Provider Identifier
1912987405
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME75925 Issued in FL
Practice address
301 NW 179TH Ave Ste 102
Pembroke Pines, FL 33029
Phone
(954) 447-1446
Fax
(954) 241-4147
NPI assigned
Jan 19, 2006
Last updated
Feb 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME75925 FL Primary

Addresses

Primary practice location

301 NW 179TH Ave Ste 102
Pembroke Pines, FL 33029

Mailing address

301 NW 179TH Ave Ste 102
Pembroke Pines, FL 33029-2817
Phone (954) 447-1446

Other practice location 1

17901 NW 5th St
Suite 202
Pembroke Pines, FL 33029-2810
Phone (954) 447-1994

Other practice location 2

6175 NW 153rd St Ste 332
Miami Lakes, FL 33014-2457
Phone (954) 447-1446 ext. 311

Other identifiers 1

IdentifierTypeStateIssuer
254472500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040428001240 FL Practitioner - Obstetrics/Gynecology 4183611494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Tulane University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

17901 NW 5TH St
202 Femlife Healthcare for Women LLC
Pembroke Pines, FL 33029-2810
Phone (954) 447-1994

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME75925FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC Obstetrics & Gynecology CurrentSince Aug 15, 2006 Accepting new patients
Labiste Medical and Wellness Center, Inc PastSince Feb 1, 2021 Accepting new patients
All Womens Healthcare of South Florida Inc Obstetrics & Gynecology Past Accepting new patients
Adrian Delboca, MD PA Obstetrics & Gynecology Past Accepting new patients
All Womens Healthcare of Southern Florida Inc Obstetrics & Gynecology Past Accepting new patients

Locations

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

6175 NW 153rd St
Ste 332
Miami Lakes, FL 33014
Phone (954) 447-1446

1951 SW 172nd Ave
Ste 312
Miramar, FL 33029
Phone (954) 432-3224

17901 NW 5th St
Ste 202
Pembroke Pines, FL 33029
Phone (954) 442-8722

301 NW 179th Ave
Ste 102
Pembroke Pines, FL 33029
Phone (954) 447-1446

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1912987405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 NW 179TH AVE STE 102",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292817",
            "telephone_number": "954-447-1446",
            "fax_number": "954-241-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 NW 179TH AVE STE 102",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33029",
            "telephone_number": "954-447-1446",
            "fax_number": "954-241-4147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17901 NW 5th St",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330292810",
            "country_code": "US",
            "telephone_number": "954-447-1994",
            "fax_number": "954-447-1766",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6175 NW 153rd St Ste 332",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330142457",
            "country_code": "US",
            "telephone_number": "954-447-1446 x311",
            "fax_number": "954-241-4147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "URIBASTERRA",
        "first_name": "PABLO",
        "middle_name": "E.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME75925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254472500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.