Healthcare Provider Details

I. General information

NPI: 1598770182
Provider Name (Legal Business Name): ROBERTO URIEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 06/02/2025
Certification Date: 09/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SOUTH FLORIDA PEDIATRICS INC. 3905 NW 107 AVE SUITE 412
DORAL FL
33178
US

IV. Provider business mailing address

SOUTH FLORIDA PEDIATRICS INC ROBERTO URIEL MD 3905 NW 107 AVE SUITE 412
DORAL FL
33178
US

V. Phone/Fax

Practice location:
  • Phone: 786-360-2030
  • Fax: 786-360-3269
Mailing address:
  • Phone: 786-360-2030
  • Fax: 786-360-3269

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME0055642
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License NumberME0055642
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: