Individual provider Active NPI

Joseph Dieuvil, M.D.

  • General Practice Physician
  • Miami Shores, FL
National Provider Identifier
1154443679
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME42295 Issued in FL
Practice address
9700 NE 2ND Ave
Miami Shores, FL 33138-2311
Phone
(954) 514-9360
NPI assigned
Apr 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 42295 FL
General Practice Physician 208D00000X ME42295 FL Primary

Addresses

Primary practice location

9700 NE 2ND Ave
Miami Shores, FL 33138-2311

Mailing address

1175 Manor CT
Weston, FL 33326-2817
Phone (954) 937-8211

Other practice location 1

1175 Manor CT
Weston, FL 33326-2817
Phone (954) 937-8211

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
I20091119000504 FL Practitioner - Physical Medicine and Rehabilitation 6709925399 Practice locations: Hialeah, FL; Weston, FL; Miami, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42295FLMDOccupational Medicine Physician
ME42295FLMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1154443679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 MANOR CT",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333262817",
            "telephone_number": "954-937-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 NE 2ND AVE",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382311",
            "telephone_number": "954-514-9360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1175 MANOR CT",
            "address_purpose": "LOCATION",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333262817",
            "country_code": "US",
            "telephone_number": "954-937-8211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIEUVIL",
        "first_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "FL",
            "license": "42295",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME42295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Shores, FL

Sources for this page

Verify at the official NPI Registry.