Individual provider Active NPI

Daniel Cespedes Jr.

  • Physician Assistant
  • Coral Gables, FL
National Provider Identifier
1114704525
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9117800 Issued in FL
Practice address
1150 Campo Sano Ave FL 2
Coral Gables, FL 33146-1174
Phone
(786) 268-6200
NPI assigned
Sep 11, 2023
Last updated
Apr 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9117800 FL Primary

Addresses

Primary practice location

1150 Campo Sano Ave FL 2
Coral Gables, FL 33146-1174

Mailing address

PO Box 100905
Atlanta, GA 30384-0905

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DAN30896@cerner.directbaptisthealth.com

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
I20240215000228 FL Practitioner - Physician Assistant 1456795707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1150 Campo Sano Ave
Coral Gables, FL 33146-1174
Phone (786) 268-6200

6200 SW 73 St
South Miami, FL 33143-4679
Phone (786) 662-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9117800FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Orthopedics, LLC CurrentSince Oct 20, 2025 Accepting new patients

Locations

1150 Campo Sano Ave
Fl 2
Miami, FL 33146
Phone (786) 308-2152

1228 S Pine Island Rd
Ste 310
Plantation, FL 33324
Phone (954) 392-1725

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

Interoperability endpoints

  • Direct secure messaging: dan30896@cerner.directbaptisthealth.com

Organizations & group practices 1

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": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1114704525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100905",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303840905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 CAMPO SANO AVE FL 2",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331461174",
            "telephone_number": "786-268-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CESPEDES",
        "first_name": "DANIEL",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-11",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9117800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DAN30896@cerner.directbaptisthealth.com",
            "affiliation": "N",
            "address_1": "1150 Campo Sano Ave Fl 2",
            "city": "Coral Gables",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331461174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.