Active NPI
Andres Ozual, MD
- General Practice Physician
- Hollywood, FL
National Provider Identifier
1184739336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ACN286
- Practice address
- 4801 Hollywood Blvd Ste B
Hollywood, FL 33021-6545 - Phone
- (954) 927-5905
- Fax
- (844) 546-1497
- NPI assigned
- Aug 20, 2006
- Last updated
- Jun 23, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 016372 | PR | |
| General Practice Physician | 208D00000X | ACN286 | FL | Primary |
Addresses
Primary practice location
4801 Hollywood Blvd Ste B
Hollywood, FL 33021-6545
Mailing address
8752 NW 109TH Ter
Hialeah Gardens, FL 33018-4549
Phone (305) 804-8229
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016372 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro Medico Familiar Buen Pastor Inc | General Practice | Current | Accepting new patients |
| Centro de Salud Primaria LLC | General Practice | Current | Accepting new patients |
| Concepcion Medical LLC | Past | Accepting new patients | |
| Cardio Neuro Medical Services | Past | Accepting new patients | |
| Medical Cardiovascular Service Inc | Past | Accepting new patients |
Locations
4440 Sheridan St
Ste C
Hollywood, FL 33021
Phone (954) 312-7041
4801 Hollywood Blvd
Ste B
Hollywood, FL 33021
Phone (954) 927-5382
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DJBAED/Endpoint/DJBAED
Organizations & group practices 6
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.
-
- General Practice Physician
- Hollywood, FL
- NPI 1649706110
-
- Clinic/Center
- North Lauderdale, FL
- NPI 1881093367
-
- General Practice Physician
- Hollywood, FL
- NPI 1013243849
-
- Internal Medicine Physician
- Aventura, FL
- NPI 1124835277
-
- Cardiovascular Specialist/Technologist
- Santurce, PR
- NPI 1194757435
-
- Cardiovascular Specialist/Technologist
- San Juan, PR
- NPI 1881659548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719100800000",
"number": "1184739336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8752 NW 109TH TER",
"city": "HIALEAH GARDENS",
"state": "FL",
"postal_code": "330184549",
"telephone_number": "305-804-8229",
"fax_number": "844-546-1497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 HOLLYWOOD BLVD STE B",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330216545",
"telephone_number": "954-927-5905",
"fax_number": "844-546-1497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OZUAL",
"first_name": "ANDRES",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2024-06-23",
"certification_date": "2024-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "016372",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ACN286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.