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General NPI Number Information
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NPI Number | 1902071939
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Entity Type | Individual
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Provider Name | PEDRO ANTONIO SEVILLA SAEZ-BENITO MD
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Gender | Male
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Dates
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Enumeration Date | 04/30/2008
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Last Update Date | 04/25/2019
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Provider Practice Location Address
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Address Line | 7000 SW 97TH AVE STE 120
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City | MIAMI
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State | FL
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Zip | 33173-1474
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Country | US
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Telephone | 786-299-5419
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Fax | 844-431-6801
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Provider Business Mailing Address
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Address Line | PO BOX 562435
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City | MIAMI
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State | FL
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Zip | 33256-2435
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Country | US
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Telephone | 786-299-5419
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Fax | 844-431-6801
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | ME0107719
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | ME107719
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License Number State | FL
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