Individual provider Active NPI

Jorge Luis Cuello, MD

  • Cardiovascular Disease Physician
  • South Miami, FL
National Provider Identifier
1003855511
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME0070399 Issued in FL
Practice address
6200 Sunset Dr
Suite 401
South Miami, FL 33143-4828
Phone
(305) 666-4633
Fax
(305) 487-3323
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0070399 FL
Cardiovascular Disease Physician 207RC0000X ME0070399 FL Primary

Addresses

Primary practice location

6200 Sunset Dr
Suite 401
South Miami, FL 33143-4828

Mailing address

6200 Sunset Dr
Suite 401
South Miami, FL 33143-4828
Phone (305) 666-4633

Other identifiers 1

IdentifierTypeStateIssuer
251437100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040526000387 FL Practitioner - Cardiovascular Disease (Cardiology) 5496736464 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Medicine Associates PAGroup PAC ID 5991609992, 41 clinicians

Practice addresses (Care Compare)

6200 Sunset Dr
Suite 401
South Miami, FL 33143-4829
Phone (305) 666-4633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0070399FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Associates of Ami Kendall Inc Cardiovascular Disease CurrentSince Jul 7, 2012 Accepting new patients
Baptist Outpatient Services Inc CurrentSince Dec 12, 2013 Accepting new patients
Baptist Outpatient Services Inc CurrentSince Dec 12, 2013 Accepting new patients
Diagnostic Readers Group Inc Cardiovascular Disease CurrentSince Jun 13, 2010 Accepting new patients
Cardiovascular Center of Miami LLC Cardiovascular Disease PastSince Oct 1, 2007 Accepting new patients

Locations

6264 W Sample Rd
Ste 120
Coral Springs, FL 33067
Phone (954) 837-1020

11750 Bird Rd
#306
Miami, FL 33175
Phone (954) 967-0107

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

8950 N Kendall Dr
Fl 2
Miami, FL 33176
Phone (786) 596-7200

7100 Pines Blvd
Ste 19
Pembroke Pines, FL 33024

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

Networks

  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
  • FL HMO C-SNP
  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
  • FL HMO D-SNP
  • AL HMO D-SNP
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • AL HMO
  • FL HMO

Interoperability endpoints

  • Direct secure messaging: jorge.cuello.1@1931.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1003855511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 SUNSET DR",
            "address_2": "SUITE 401",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434828",
            "telephone_number": "305-666-4633",
            "fax_number": "305-487-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 SUNSET DR",
            "address_2": "SUITE 401",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434828",
            "telephone_number": "305-666-4633",
            "fax_number": "305-487-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUELLO",
        "first_name": "JORGE",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0070399",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME0070399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251437100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.