Individual provider Active NPI

Juan Jesus Salina, M.D

  • General Practice Physician
  • Hialeah, FL
National Provider Identifier
1104836287
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME80147 Issued in FL
Practice address
4212 W 16 Ave
Hialeah, FL 33012-7629
Phone
(305) 821-5525
Fax
(786) 342-6017
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME80147 FL Primary

Addresses

Primary practice location

4212 W 16 Ave
Hialeah, FL 33012-7629

Mailing address

4212 W 16 Ave
Hialeah, FL 33012-7629
Phone (305) 821-5525

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
I20040417000401 FL Practitioner - General PracticePractitioner - Vascular Surgery 9739174871 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Polyclinic Health Center IncGroup PAC ID 8729492574, 3 clinicians

Practice addresses (Care Compare)

299 Alhambra Cir
Suite 210
Coral Gables, FL 33134-5116
Phone (786) 558-5729

4212 W 16 Ave
Hialeah, FL 33012-7629

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME80177FLMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Juan Jesus Salina MD Corp General Practice CurrentSince Jan 3, 2001 Accepting new patients
Context Medical Group, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Polyclinic Health Center Inc CurrentSince Apr 5, 2022 Accepting new patients
Medivital Health Center LLC CurrentSince Apr 27, 2025 Accepting new patients
Los Pinos Specialist Group Corp General Practice Current Accepting new patients
Inmuhealth Community Group Inc General Practice CurrentSince May 1, 2023 Accepting new patients
C Marzouka Professional Services Inc Past Accepting new patients
Los Pinos Medical Center Corp PastSince Jan 1, 1990 Accepting new patients
Las Mercedes Health Care Inc Past Accepting new patients
Humanity Health Medical Center,Inc Past Accepting new patients
Juan Jesus Salina MD Corp PastSince Jan 1, 1990 Accepting new patients
Luis E de Armas MD Corp General Practice PastSince Feb 9, 2025 Accepting new patients

Locations

299 Alhambra Cir
Ste 210
Coral Gables, FL 33134
Phone (305) 766-4260

4212 W 16th Ave
Hialeah, FL 33012
Phone (305) 821-5525

4385 W 16th Ave
Hialeah, FL 33012
Phone (305) 824-0637

10550 NW 77th Ct
Ste 305
Hialeah Gardens, FL 33016
Phone (305) 826-3072

9495 SW 72nd St
Ste B180
Miami, FL 33173
Phone (305) 274-5319

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IFAIDD

Organizations & group practices 12

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1104836287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 W 16 AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127629",
            "telephone_number": "305-821-5525",
            "fax_number": "305-821-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 W 16 AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127629",
            "telephone_number": "305-821-5525",
            "fax_number": "786-342-6017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALINA",
        "first_name": "JUAN",
        "middle_name": "JESUS",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME80147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.