Individual provider Active NPI

Juan F Arteaga, MD

  • Family Medicine Physician
  • Pembroke Pines, FL
National Provider Identifier
1093736399
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0066141 Issued in FL
Practice address
10067 Pines Boulevard. Suite a.
Pembroke Pines, FL 33024
Phone
(954) 430-6900
Fax
(954) 430-6988
NPI assigned
Jul 21, 2006
Last updated
Jul 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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 ME0066141 FL Primary

Addresses

Primary practice location

10067 Pines Boulevard. Suite a.
Pembroke Pines, FL 33024

Mailing address

10067 Pines Boulevard. Suite a.
Pembroke Pines, FL 33024
Phone (954) 430-6900

Other identifiers 2

IdentifierTypeStateIssuer
25518OtherFLBCBS
375422700MedicaidFL

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
I20120503000542 FL Practitioner - Family Practice 4880856020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0066141FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Health Group of South Florida Inc CurrentSince Jul 31, 2023 Accepting new patients
Doctors Plus Medical Center Inc Family Medicine CurrentSince Mar 16, 2013 Accepting new patients

Locations

10067 Pines Blvd
#A
Pembroke Pines, FL 33024
Phone (954) 430-6900

501 NW 179th Ave
Ste 101
Pembroke Pines, FL 33029
Phone (954) 442-2828

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1093736399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10067 PINES BOULEVARD. SUITE A.",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33024",
            "telephone_number": "954-430-6900",
            "fax_number": "954-430-6988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10067 PINES BOULEVARD. SUITE A.",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33024",
            "telephone_number": "954-430-6900",
            "fax_number": "954-430-6988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARTEAGA",
        "first_name": "JUAN",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0066141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "25518",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375422700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.