NPIMap

Individual provider Active NPI

Jonathan L Tolentino, MD

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1063621209
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME143438 Issued in FL
Practice address
1150 NW 14TH St Ste 411
Miami, FL 33136-2137
Phone
(305) 243-4900
Fax
(305) 243-4966
NPI assigned
May 22, 2007
Last updated
Jan 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME143438 FL
Internal Medicine Physician 207R00000X ME143438 FL Primary

Addresses

Primary practice location

1150 NW 14TH St Ste 411
Miami, FL 33136-2137

Mailing address

1120 NW 14TH St # St960
Miami, FL 33136-2107
Phone (305) 243-4258

Other practice location 1

1611 NW 12th Avenue
Central Building Room 600D (R-60)
Miami, FL 33136-3313
Phone (305) 585-7476

Other practice location 2

1120 NW 14th St # Crb960
Miami, FL 33136-2107
Phone (305) 243-4258

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200417002092 FL Practitioner - Internal MedicinePractitioner - Pediatric Medicine 2961533054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Medical College of Georgia School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians

Practice addresses (Care Compare)

41214 Fisher Island Dr
Miami Beach, FL 33109-1255
Phone (305) 503-8634

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
78.79
Promoting interoperability
100
Improvement activities
40
Cost
71.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME143438FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Current Accepting new patients
University of Miami Internal Medicine CurrentSince Mar 17, 2020 Accepting new patients
University of Miami Internal Medicine Past Accepting new patients
University of Miami Past Accepting new patients

Locations

1120 NW 14th St
#960
Miami, FL 33136
Phone (305) 243-4258

1150 NW 14th St
Ste 410
Miami, FL 33136
Phone (305) 243-7570

1150 NW 14th St
Ste 411
Miami, FL 33136
Phone (305) 270-3429

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1611 NW 12th Ave
Fl 5
Miami, FL 33136
Phone (305) 243-4211

1611 NW 12th Ave
Fl 55A5C
Miami, FL 33136

1611 NW 12th Ave
Rm 600D
Miami, FL 33136
Phone (305) 585-5215

1611 NW 12th Ave
Ste 5A
Miami, FL 33136
Phone (305) 243-3166

1611 NW 12th Ave
Ste 600B
Miami, FL 33136
Phone (305) 355-1303

1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006

8932 SW 97th Ave
Miami, FL 33176
Phone (305) 270-3485

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.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1063621209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 NW 14TH ST # ST960",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331362107",
            "telephone_number": "305-243-4258",
            "fax_number": "305-243-7096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 NW 14TH ST STE 411",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331362137",
            "telephone_number": "305-243-4900",
            "fax_number": "305-243-4966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 NW 12th Avenue",
            "address_2": "Central Building Room 600D (R-60)",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331363313",
            "country_code": "US",
            "telephone_number": "305-585-7476",
            "fax_number": "305-585-8128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1120 NW 14th St # Crb960",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331362107",
            "country_code": "US",
            "telephone_number": "305-243-4258",
            "fax_number": "305-243-7096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOLENTINO",
        "first_name": "JONATHAN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME143438",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME143438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.