Unknown Individual – Pediatrics Physician, NPI 1457709511

Unknown Individual is a healthcare provider. based in Coral gables, Florida. specializing in Pediatrics Physician. The NPI Number for Unknown Individual is 1457709511

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1457709511
Phone
(305) 661-1515
Address
5955 PONCE DE LEON BLVD
Deactivation Date
19 April 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience15
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 5955 PONCE DE LEON BLVD

    CORAL GABLES, FL 331462423

    Phone: (305) 661-1515

    Fax: (305) 662-3723

    Type: Mailing

  • 5325 GREENWOOD AVE

    SUITE 202

    WEST PALM BEACH, FL 334072452

    Phone: (561) 558-1212

    Fax: (561) 558-1292

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33146)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1457709511 for Unknown Individual, then check state licensing separately.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Pediatrics Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Coral Gables, Florida as a primary anchor for Unknown Individual unless the record lists multiple sites.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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