Active NPI
Juan A. Amador Tavarez, M.D.
- Family Medicine Physician
- New Port Richey, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME132750
- Practice address
- 8501 Little Rd
New Port Richey, FL 34654-4924 - Phone
- (727) 869-7755
- Fax
- (727) 869-7372
- NPI assigned
- Jun 16, 2006
- Last updated
- Aug 11, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 14474 | PR | |
| Family Medicine Physician | 207Q00000X | ME132750 | FL | Primary |
Addresses
Primary practice location
8501 Little Rd
New Port Richey, FL 34654-4924
Mailing address
8501 Little Rd
New Port Richey, FL 34654-4924
Phone (727) 869-7755
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3675 W Waters Ave
Optum Fountain Oaks
Tampa, FL 33614-2783
Phone (813) 915-2000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optumcare Florida LLC | Family Medicine | Current | Accepting new patients |
| Optumcare Florida, LLC | Current | Accepting new patients | |
| Clinica de Cuidado Medico, Inc. | Past | Accepting new patients | |
| Optumcare Florida Ci, LLC | Past | Accepting new patients |
Locations
1989 W Lumsden Rd
Brandon, FL 33511
Phone (813) 653-3111
1345 West Bay Dr
Ste 202
Largo, FL 33770
Phone (727) 559-0895
8501 Little Rd
New Port Richey, FL 34654
Phone (727) 869-7755
10051 5th St N
Ste 200
St Petersburg, FL 33702
Phone (727) 286-4093
3675 W Waters Ave
Tampa, FL 33614
Phone (813) 915-2000
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- juan.amadortavarez@wellmed.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
- Primary Care Clinic/Center
- Winter Park, FL
- NPI 1720506603
-
- Clinic/Center
- Ciales, PR
- NPI 1275567455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628640000000",
"number": "1063456028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8501 LITTLE RD",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346544924",
"telephone_number": "727-869-7755",
"fax_number": "727-869-7372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8501 LITTLE RD",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346544924",
"telephone_number": "727-869-7755",
"fax_number": "727-869-7372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMADOR TAVAREZ",
"first_name": "JUAN",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2021-08-11",
"certification_date": "2021-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PR",
"license": "14474",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME132750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Port Richey, FL
- David Benjamin Alonso, MD
- Alternative Solutions Counseling and Coaching
- Alternative Solutions Transportation, LLC
- Claudia Alvarez Gonzalez, BCABA
- Leslie Ann Alvarez, OTR/L
- Amarjeet S. Dhillon M.
- Ambassador Soars Supportive Living and Transportation Services, Inc
- American Care of North Florida, Inc.
- American Dental Clinic
- American Eagle New Port Richey LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.