Jose Ramon Prieto, M.D.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

0051439 Issued in FL

Practice address

214 Morrison Rd Ste 104
Brandon
Brandon, FL 33511-4849

Phone

(813) 681-6474

Fax

(813) 654-8473

NPI assigned

Jul 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Jose R Prieto MD PA

  • Infectious Disease Physician
  • Brandon, FL
  • NPI 1689708844
  Medicare reassignment

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1093748428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 MORRISON RD STE 104",
            "address_2": "BRANDON",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114849",
            "telephone_number": "813-681-6474",
            "fax_number": "813-654-8473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 MORRISON RD STE 104",
            "address_2": "BRANDON",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114849",
            "telephone_number": "813-681-6474",
            "fax_number": "813-654-8473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIETO",
        "first_name": "JOSE",
        "middle_name": "RAMON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "0051439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269481600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Marie Prestwood, LCSW
• Charles Mark Preuett, L.C.S.W.
• Anthony Paul Pribila, P.T.
• Summer Yvette Price, NP
• Wayman Darryll Price, D.M.D.
• Primary Care Associates of Brandon LLC
• Susan Primeaux
• Paula S Proch, PA
• Paul Jon Procko
• Caroline Elizabeth Proeschel

• Infectious Disease Physician in Brandon, FL
• Providers in Brandon, FL by specialty
• Infectious Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.