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
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
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
1396299244 Pediatric Specialty Group, Inc. Pediatrics 3100 Sw 62nd Ave, Suite 304, Miami, FL 33155 2016-08-09
1417401357 Pediatric Specialty Group, Inc. Psychiatry & Neurology 3100 Sw 62nd Ave, Division of Psychiatry- 2nd Floor, Miami, FL 33155-3009 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
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
1982633269 Charles D Mitchell Pediatrics 1601 Nw 12th Ave, Miami, FL 33101-6960 2006-06-30
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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
1962494732 Ecaterina Iriza Pediatrics 3100 Sw 62nd Ave, Miami, FL 33155-3009 2005-08-18
1407415185 Claudia Itzel Riera Canales Student in an Organized Health Care Education/Training Program 3100 Sw 62nd Ave, Miami, FL 33155-3009 2019-06-06
1093373961 Candelaria O'farrell Student in an Organized Health Care Education/Training Program 3100 Sw 62nd Ave, Miami, FL 33155-3009 2019-06-05
1124686126 Jacklyn Dianna Smith Student in an Organized Health Care Education/Training Program 3100 Sw 62nd Ave, Miami, FL 33155-3009 2019-06-04
1275191231 Liliam Aquino Crisanto Student in an Organized Health Care Education/Training Program 3100 Sw 62nd Ave, Miami, FL 33155-3009 2019-06-04
1497313548 Giancarlo Giovannini Sanguineti Student in an Organized Health Care Education/Training Program 3100 Sw 62nd Ave, Miami, FL 33155-3009 2019-06-04
1073179610 Natasha Johnson Student in an Organized Health Care Education/Training Program 3100 Sw 62nd Ave, Miami, FL 33155-3009 2019-05-18
1679138929 Eliana Andrea Sanchez Student in an Organized Health Care Education/Training Program 3100 Sw 62nd Ave, Miami, FL 33155-3009 2019-05-02
1316500564 Gabriel Mandel Student in an Organized Health Care Education/Training Program 3100 Sw 62nd Ave, Miami, FL 33155-3009 2019-04-15
1316400153 Eric Alberto Tano Student in an Organized Health Care Education/Training Program 3100 Sw 62nd Ave, Miami, FL 33155-3009 2019-04-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467019273 Lovely Medical Center Inc Clinic/Center 7230 Coral Way Ste 208, Miami, FL 33155 2019-05-28
1700366887 Aly Hashim Family Medicine 2805 Sw 75th Avenue, Miami, FL 33155 2018-08-17
1215423991 Rebeca Helen Ray-gillis Podiatrist 7500 Sw 7th Avenue, Miami, FL 33155 2018-07-06
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
1134646623 Elizabeth Amy Nosti Behavior Technician 7315 Sw 39 St, Miami, FL 33155 2017-08-24
1184147332 Belkis Gomez Behavior Technician 4600 Sw 67th Ave Apt 202, Miami, FL 33155 2017-07-19
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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.

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