Active NPI
Jesus Vera, SA-C
- Surgical Assistant
- Hialeah, FL
National Provider Identifier
1073006599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 14-178
- Practice address
- 827 W 74TH St
Hialeah, FL 33014-4701 - Phone
- (786) 337-1137
- NPI assigned
- Jun 9, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 14-178 | FL | Primary |
Addresses
Primary practice location
827 W 74TH St
Hialeah, FL 33014-4701
Mailing address
827 W 74TH St
Hialeah, FL 33014-4701
Phone (786) 337-1137
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14-178 | FL | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528502400000",
"number": "1073006599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "827 W 74TH ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330144701",
"telephone_number": "786-337-1137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "827 W 74TH ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330144701",
"telephone_number": "786-337-1137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERA",
"first_name": "JESUS",
"credential": "SA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-09",
"last_updated": "2018-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "FL",
"license": "14-178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.