Individual provider Active NPI

Juan Carlos De Rivero Vaccari, PHD, MD

  • Ophthalmology Physician
  • Miami, FL
National Provider Identifier
1164797445
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME126302 Issued in FL
Practice address
401 SW 27TH Ave
Miami, FL 33135-2903
Phone
(305) 541-6606
NPI assigned
Mar 20, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME126302 FL Primary

Addresses

Primary practice location

401 SW 27TH Ave
Miami, FL 33135-2903

Mailing address

401 SW 27TH Ave
Miami, FL 33135-2903
Phone (504) 975-4908

Other practice location 1

425 Hillary St
New Orleans, LA 70118-3831
Phone (504) 314-8705

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
I20160726003033 FL Practitioner - Ophthalmology 7012218761 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
88.63

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Guerra-Galindez & Murias-Boudet, P.a. Ophthalmology CurrentSince Sep 1, 2019 Accepting new patients
Orlando Galindez MD PA Ophthalmology CurrentSince Sep 1, 2019 Accepting new patients

Locations

401 SW 27th Ave
#3
Miami, FL 33135
Phone (305) 541-6606

Organizations & group practices 3

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": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1164797445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 SW 27TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352903",
            "telephone_number": "504-975-4908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SW 27TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352903",
            "telephone_number": "305-541-6606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 Hillary St",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701183831",
            "country_code": "US",
            "telephone_number": "504-314-8705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE RIVERO VACCARI",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "PHD, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-20",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME126302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.