Pediatric Specialty Group, Inc.
Pediatric Specialists of America- Infectious Disease · Pediatrics (Pediatric Infectious Diseases)

Address: 3100 Sw 62nd Ave, Suite 206, Miami, FL 33155
Phone: 7866245876

Pediatric Specialty Group, Inc. (NPI# 1922552876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1922552876
Entity Type Organization
Organization Name PEDIATRIC SPECIALTY GROUP, INC.
Other Organization Name PEDIATRIC SPECIALISTS OF AMERICA- INFECTIOUS DISEASE
Practice Address 3100 Sw 62nd Ave
Suite 206
Miami
FL 33155
Practice Telephone 7866245876
Practice Fax Number 7866242688
Mailing Address Po Box 865095
Orlando
FL 32886-5095
Mailing Telephone 7866245876
Mailing Fax Number 7866242688
Authorized Official Name Elizabeth Menocal (AUTHORIZED OFFICIAL)
Authorized Official Telephone 3056628357
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2016-08-09
Last Update Date 2018-06-15

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 2080P0208X Pediatrics · Pediatric Infectious Diseases Allopathic & Osteopathic Physicians

Other Provider Identifier

State Identifier Issuer Type Code
FL 013515218 MEDICAID

Other Provider/Organization Names

Other Name Type Code
Pediatric Specialists of America- Infectious Disease Doing Business As Name - Organization

Providers with the same name

NPI Name Taxonomy Address Enumeration
1316589914 Pediatric Specialty Group, Inc. Pediatrics 9750 Nw 33rd St Ste 109, Coral Springs, FL 33065-4000 2019-10-15
1235774852 Pediatric Specialty Group, Inc. Pediatrics 3100 Sw 62nd Ave, 1st Floor, Trauma Unit, Miami, FL 33155-3009 2019-11-07
1124553656 Pediatric Specialty Group, Inc. Pediatrics 3100 Sw 62nd Ave, Apcp- 6 Tower, Suite 6226, Miami, FL 33155-3009 2017-04-21
1881128171 Pediatric Specialty Group, Inc. Pediatrics 3100 Sw 62nd Ave, Palliative Care Medicine- 3rd Floor- Suite 6-74, Miami, FL 33155 2017-04-13
1194277756 Pediatric Specialty Group, Inc. Psychologist 3100 Sw 62nd Ave, Department of Psychology, Miami, FL 33155-3009 2016-10-31
1528512001 Pediatric Specialty Group, Inc. Pediatrics 3100 Sw 62nd Ave, Department of Gastroenterology, Miami, FL 33155 2016-08-12
1891249371 Pediatric Specialty Group, Inc. Pediatrics 3100 Sw 62nd Ave Ste 102, Miami, FL 33155 2016-08-12
1982158820 Pediatric Specialty Group, Inc. Ophthalmology 3100 Sw 62nd Ave, Miami, FL 33155 2016-08-09
1689128530 Pediatric Specialty Group, Inc. Pediatrics 3100 Sw 62nd Ave, Attention: Physician Rcm @ Blue Lagoon- 8th Floor, Miami, FL 33155-3009 2016-08-09
1942754890 Pediatric Specialty Group, Inc. Plastic Surgery 3100 Sw 62nd Ave, Suite 2230, Miami, FL 33155 2016-08-09
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Taxonomy Information

Taxonomy Code 2080P0208X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Infectious Diseases

Taxonomy Definition

A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558580522 Luis A Blanco Pediatrics 8752 Sw 8th St, Miami, FL 33174-3201 2007-04-25
1528281409 Ivan Alberto Gonzalez Pediatrics 1580 N.w. 10th Avenue, Locator Code D4-4, Miami, FL 33136 2007-04-10
1710047121 Alfredo Ivan Murciano Pediatrics 6537 Coral Way, Miami, FL 33155-1843 2006-12-08
1568458834 Pablo M Laufer Pediatrics 3200 Sw 60th Ct, Suite 206, Miami, FL 33155-4000 2005-09-22
1134512064 Arsj Pediatrics Infectious Diseases Pediatrics 8940 N Kendall Dr, Suite 603e, Miami, FL 33176-2148 2015-03-17
1457795874 Brandon Chatani Pediatrics 1580 Nw 10th Ave, Miami, FL 33136-1013 2013-04-29
1437292521 Pediatric Infectious Diseases LLC Pediatrics 3200 Sw 60th Ct, Suite 206, Miami, FL 33155-4000 2007-02-15
1831256809 Antonia Rosa Sanjorge Pediatrics 8940 N Kendall Dr, Suite 603e, Miami, FL 33176-2148 2007-01-02
1396770244 Gwendolyn B Scott Pediatrics 1601 Nw 12th Ave, Box 016960 M851, Miami, FL 33101-6960 2006-07-11
1932139391 Delia M Rivera Hernandez Pediatrics 1601 Nw 12th Ave, Box 016960 M851, Miami, FL 33101-6960 2006-07-03
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Office Location

Street Address 3100 SW 62ND AVE
SUITE 206
City MIAMI
State FL
Zip Code 33155

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104824077 Rene Luis Lopez-guerrero Pediatrics 3100 Sw 62nd Ave, Miami, FL 33155-3009 2005-07-13
1992323992 Doaa Farrahaddin Andejani Student in an Organized Health Care Education/Training Program 3100 Sw 62nd Ave, Miami, FL 33155-3009 2020-07-07
1972120707 Tahira Macedo Physician Assistant 3100 Sw 62nd Ave, Miami, FL 33155-3009 2020-06-27
1851917611 Andrea Alexandra Montano Ballesteros Student in an Organized Health Care Education/Training Program 3100 Sw 62nd Ave, Miami, FL 33155-3009 2020-06-17
1871118406 Ivette Lopez Nurse Practitioner 3100 Sw 62nd Ave, Miami, FL 33155-3009 2020-06-09
1801419585 Eva Maria Glenn Lecea Student in an Organized Health Care Education/Training Program 3100 Sw 62nd Ave, Miami, FL 33155-3009 2020-05-28
1649893330 Camila Gonzalez Aragon Student in an Organized Health Care Education/Training Program 3100 Sw 62nd Ave, Miami, FL 33155-3009 2020-05-28
1336762715 Catalina Moreno Bejarano Emergency Medicine 3100 Sw 62nd Ave, Miami, FL 33155-3009 2020-05-20
1205455045 Michael Elias Student in an Organized Health Care Education/Training Program 3100 Sw 62nd Ave, Miami, FL 33155-3009 2020-04-12
1548899115 Antonia Rovira Student in an Organized Health Care Education/Training Program 3100 Sw 62nd Ave, Miami, FL 33155-3009 2020-04-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245888585 Mila De La Caridad Broche Coego Behavior Technician 2247 Sw 68th Ct, Miami, FL 33155 2019-08-29
1265087878 Nancy Acela Denis Nurse Practitioner 6791 Sw 25 Terra, Miami, FL 33155 2019-08-09
1700366887 Aly Hashim Family Medicine 2805 Sw 75th Avenue, Miami, FL 33155 2018-08-17
1184115362 Ready 2 Transfer, Inc. Non-emergency Medical Transport (VAN) 7811 Sw 24 Street #120, Miami, FL 33155 2018-05-23
1053808030 Idalmis Pimentel Diez Behavior Technician 6334 Sw 30th St, Miami, FL 33155 2018-04-16
1659888915 Red Bird Dental Care Dentist 5771 Sw 40 St, Miami, FL 33155 2018-01-08
1043726474 Jesenia Rodriguez-vila Nurse Practitioner 6433 Sw 29th St, Miami, FL 33155 2017-12-21
1326553736 Believe Neuro-behavioral Services Behavior Analyst 6700 Sw 38th St, Miami, FL 33155 2017-12-07
1851803589 Skrk LLC Internal Medicine 6445 Sw 27th St, Miami, FL 33155 2017-11-03
1134646623 Elizabeth Amy Nosti Behavior Technician 7315 Sw 39 St, Miami, FL 33155 2017-08-24
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Competitor

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City MIAMI
Zip Code 33155

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.