Organization Active NPI

Alejandro Pedrozo III MD PA

  • Dermatology Physician
  • Miami, FL
National Provider Identifier
1972925725
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME81430 Issued in FL
Legal business name
ALEJANDRO PEDROZO III MD PA
Practice address
351 NW Le Jeune Rd
Ste 502
Miami, FL 33126-5683
Phone
(305) 642-5200
Fax
(305) 642-5269
NPI assigned
Jan 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2014

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

Authorized official

Name
Alejandro Pedrozo, MD PANPI 1689626236
Title
MD PA
Phone
(305) 642-5592

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X ME81430 FL Primary

Addresses

Primary practice location

351 NW Le Jeune Rd
Ste 502
Miami, FL 33126-5683

Mailing address

351 NW Le Jeune Rd
Ste 502
Miami, FL 33126-5683
Phone (305) 642-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140218001571 FL Part B Supplier - Clinic/Group Practice 8224092952 Receives reassigned benefits from 1 practitioner
Practice locations: Hialeah, FL; Miami, FL

National Provider Directory

National Provider Directory
Tax ID family
Alejandro Pedrozo III MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

351 NW Le Jeune Rd
Ste 502
Miami, FL 33126
Phone (305) 642-5500

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 4

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": "1389657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389657600000",
    "number": "1972925725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 NW LE JEUNE RD",
            "address_2": "STE 502",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265683",
            "telephone_number": "305-642-5200",
            "fax_number": "305-642-5269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 NW LE JEUNE RD",
            "address_2": "STE 502",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265683",
            "telephone_number": "305-642-5200",
            "fax_number": "305-642-5269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEJANDRO PEDROZO III MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-01-14",
        "status": "A",
        "authorized_official_last_name": "PEDROZO",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_title_or_position": "MD PA",
        "authorized_official_telephone_number": "305-642-5592",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME81430",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.