Individual provider Active NPI

Jose Emilio Antunez

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1073100590
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11010773 Issued in FL
Practice address
1782 W Flagler St
Miami, FL 33135-2017
Phone
(305) 489-9090
NPI assigned
Dec 30, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11010773 FL Primary

Addresses

Primary practice location

1782 W Flagler St
Miami, FL 33135-2017

Mailing address

5435 W 13TH CT
Hialeah, FL 33012-2268
Phone (786) 525-1046

Other practice location 1

5435 W 13th Ct
Hialeah, FL 33012-2268
Phone (786) 525-1046

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250806003617 FL Practitioner - Nurse Practitioner 5799293080 Reassigns benefits to 1 organization
Practice locations: Hialeah, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11010773FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Suncare Medical Center LLC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1073100590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5435 W 13TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122268",
            "telephone_number": "786-525-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1782 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352017",
            "telephone_number": "305-489-9090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5435 W 13th Ct",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330122268",
            "country_code": "US",
            "telephone_number": "786-525-1046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTUNEZ",
        "first_name": "JOSE",
        "middle_name": "EMILIO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-30",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11010773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.