1598770182 NPI number — MR. ROBERTO URIEL MD

Table of content: MR. ROBERTO URIEL MD (NPI 1598770182)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598770182 NPI number — MR. ROBERTO URIEL MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
URIEL
Provider First Name:
ROBERTO
Provider Middle Name:
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1598770182
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/02/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
SOUTH FLORIDA PEDIATRICS INC ROBERTO URIEL MD
Provider Second Line Business Mailing Address:
3905 NW 107 AVE SUITE 412
Provider Business Mailing Address City Name:
DORAL
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33178
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
786-360-2030
Provider Business Mailing Address Fax Number:
786-360-3269

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
SOUTH FLORIDA PEDIATRICS INC.
Provider Second Line Business Practice Location Address:
3905 NW 107 AVE SUITE 412
Provider Business Practice Location Address City Name:
DORAL
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33178
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
786-360-2030
Provider Business Practice Location Address Fax Number:
786-360-3269
Provider Enumeration Date:
07/30/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2080A0000X , with the licence number:  ME0055642 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208000000X , with the licence number: ME0055642 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 057270500 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 112270400 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".