Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Miami Medical Doctor PA

Organization General Practice Physician · NPI 1801705363

Miami Medical Doctor PA provides General Practice Physician services in Miami, Florida. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1380 NE Miami Gdn Dr Ste 100
Miami, FL 33179-4708
Phone: (786) 925-3170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1801705363
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rosanna Perez — President · (786) 925-3170
NPI enumeratedSeptember 2, 2026
Last updated in NPPESSeptember 2, 2026
Certification dateSeptember 2, 2026
Mailing address14792 Sw 143rd Ter, Miami, FL 33196-4667

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