Individual provider Active NPI

Paulino Morera Jr., MD

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1083143903
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME147062 Issued in FL
Practice address
1251 NW 36TH St
Miami, FL 33142-5532
Phone
(305) 929-6150
Fax
(305) 634-0600
NPI assigned
Jun 5, 2017
Last updated
Jun 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME147062 FL Primary

Addresses

Primary practice location

1251 NW 36TH St
Miami, FL 33142-5532

Mailing address

2600 S Douglas Rd Ste 308
Coral Gables, FL 33134-6134
Phone (305) 913-9454

Other identifiers 1

IdentifierTypeStateIssuer
114005000MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220426002595 FL Practitioner - Family Practice 3274578844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Holdings Company LLCGroup PAC ID 8224323050, 61 clinicians

Practice addresses (Care Compare)

1251 NW 36TH St
Suite 101
Miami, FL 33142-5532
Phone (305) 913-9441

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health Holdings Company LLC CurrentSince Jun 1, 2022 Accepting new patients
Palm Medical Centers CurrentSince Jun 1, 2022 Accepting new patients

Locations

2600 S Douglas Rd
Ste 308
Coral Gables, FL 33134
Phone (305) 777-9590

1401 E 4th Ave
Ste 104
Hialeah, FL 33010
Phone (305) 885-9999

16795 NW 67th Ave
Hialeah, FL 33015
Phone (305) 913-7300

6849 Taft St
Hollywood, FL 33024
Phone (954) 266-2920

135 E 1st St
Lakeland, FL 33805
Phone (863) 686-2728

2501 SW 8th St
Miami, FL 33135
Phone (305) 642-9992

7541 N State Road 7
Ste 33073
Parkland, FL 33073

6971 W Sunrise Blvd
Ste 105
Plantation, FL 33313
Phone (954) 583-3500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1083143903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 S DOUGLAS RD STE 308",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346134",
            "telephone_number": "305-913-9454",
            "fax_number": "305-442-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 NW 36TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331425532",
            "telephone_number": "305-929-6150",
            "fax_number": "305-634-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORERA",
        "first_name": "PAULINO",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-05",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME147062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114005000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.