Individual provider Active NPI

Jorge Manuel Venereo, M.D.

  • Internal Medicine Physician
  • Doral, FL
National Provider Identifier
1144299009
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME93266 Issued in FL
Practice address
1200 NW 78TH Ave
Doral, FL 33126-1835
Phone
(786) 803-8002
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME93266 FL Primary

Addresses

Primary practice location

1200 NW 78TH Ave
Doral, FL 33126-1835

Mailing address

14473 SW 9TH St
Miami, FL 33184-3110
Phone (305) 967-5561

Other identifiers 1

IdentifierTypeStateIssuer
274816900MedicaidFL

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
I20051021000042 FL Practitioner - Internal Medicine 7113943838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1200 NW 78TH Ave
Suite 105
Doral, FL 33126-1816
Phone (786) 803-8002

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Care Medical Center, Inc CurrentSince Mar 15, 2025 Accepting new patients
Central Therapy Center, Inc. Past Accepting new patients

Locations

1200 NW 78th Ave
Ste 105
Doral, FL 33126
Phone (786) 306-3808

Interoperability endpoints

  • Direct secure messaging: wghjvener@yourcarecommunity.org
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1144299009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14473 SW 9TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331843110",
            "telephone_number": "305-967-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 NW 78TH AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261835",
            "telephone_number": "786-803-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENEREO",
        "first_name": "JORGE",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2024-12-16",
        "certification_date": "2024-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME93266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274816900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.