Organization Active NPI

Juan Alberto Prieto MD PA

  • Specialist
  • Miami, FL
National Provider Identifier
1043224306
Registry record updated Nov 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME92259 Issued in FL
Legal business name
JUAN ALBERTO PRIETO MD PA
Practice address
6741 Coral Way Ste 50-51
Miami, FL 33155-1762
Phone
(786) 269-9495
Fax
(305) 225-8239
NPI assigned
Jul 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2009

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

Authorized official

Name
Juan Alberto Prieto, MDNPI 1356382642
Title
Medical Director
Phone
(305) 225-6462

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME92259 FL Primary

Addresses

Primary practice location

6741 Coral Way Ste 50-51
Miami, FL 33155-1762

Mailing address

14440 SW 9TH St
Miami, FL 33184-3121
Phone (305) 225-6462

Other identifiers 1

IdentifierTypeStateIssuer
273626800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051024000410 FL Part B Supplier - Clinic/Group Practice 6103842646 Receives reassigned benefits from 1 practitioner
Practice locations: Coral Gables, FL; Miami, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1043224306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14440 SW 9TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331843121",
            "telephone_number": "305-225-6462",
            "fax_number": "305-225-8239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6741 CORAL WAY STE 50-51",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551762",
            "telephone_number": "786-269-9495",
            "fax_number": "305-225-8239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN ALBERTO PRIETO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "PRIETO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "305-225-6462",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME92259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273626800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.