NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC – NPI #1477007318
Pediatrics

A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.

NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC is a provider located in MIAMI, FL. NPPES has assigned the NPI number 1477007318 to NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC on August 09, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2080P0216X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Rheumatology

The NPI profile was last updated on Feb 12, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC below.

NPI Profile for
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC

NPI Number
1477007318
Enumeration Date

(about 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
Website
Primary location
3100 SW 62ND AVE
SUITE 105
MIAMI, FL 33155
Phone: (786) 624-5876 Fax: (786) 624-2688
Mailing address
PO BOX 947095
ATLANTA, GA 30394-7095
Phone: (786) 624-5712 Fax:
Organization Subpart
No
Authorized Official
MARCOS MESTRE
SVP
Phone: (305) 666-6511
Updated
Certification Date
Feb 12, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidFL013515206
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0216X
- Pediatrics / Pediatric Rheumatology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.