Individual provider Active NPI

Juan Carlos Terrero, M.D.

  • Diagnostic Radiology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1275660755
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME95763 Issued in FL
Practice address
4725 N. Federal Highway
Fort Lauderdale, FL 33308-4603
Phone
(954) 267-6650
Fax
(954) 351-7874
NPI assigned
Feb 28, 2007
Last updated
May 22, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME95763 FL Primary

Addresses

Primary practice location

4725 N. Federal Highway
Fort Lauderdale, FL 33308-4603

Mailing address

PO Box 11398
Fort Lauderdale, FL 33339-1398
Phone (877) 448-8675

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
I20081216000419 FL Practitioner - Diagnostic RadiologyPractitioner - Internal MedicinePractitioner - Emergency Medicine 4587726112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leon Medical Centers LLCGroup PAC ID 9537066618, 108 clinicians

Practice addresses (Care Compare)

8600 NW 41St St
Doral, FL 33166-6202
Phone (305) 907-4147

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
La Colonia Diagnostic Center Inc CurrentSince Apr 1, 2020 Accepting new patients
Leon Medical Centers LLC CurrentSince Jan 3, 2025 Accepting new patients
Radiology Imaging Network, Inc. Diagnostic Radiology Past Accepting new patients
South Florida Medical Imaging, PA Diagnostic Radiology PastSince Aug 8, 2021 Accepting new patients
Tele-Physicians, P.C. Past Accepting new patients

Locations

8600 NW 41st St
Doral, FL 33166
Phone (305) 642-1511

395 W 10th St
Hialeah, FL 33010
Phone (786) 580-5444

11501 SW 40th St
Miami, FL 33165
Phone (305) 646-3716

Organizations & group practices 5

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337644800000",
    "number": "1275660755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11398",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333391398",
            "telephone_number": "877-448-8675",
            "fax_number": "772-621-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 N. FEDERAL HIGHWAY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084603",
            "telephone_number": "954-267-6650",
            "fax_number": "954-351-7874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRERO",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2012-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME95763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.