Juan M Cuellar, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

ME87069 Issued in FL

Practice address

219 NW 12TH Ave
Ste C5
Miami, FL 33128-2205

Phone

(305) 548-4063

Fax

(305) 545-1515

NPI assigned

Nov 21, 2005

Last updated

Dec 14, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 9

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

Specialty

Nephrology

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kidney Specialty Center IncGroup PAC ID 2567628720, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kidney Spa LLC Dialysis facility, Miami, FL, CCN 102872
• KidneySPA at Bird Road Dialysis facility, Miami, FL, CCN 682757
• KidneySpa Hialeah LLC Dialysis facility, Hialeah, FL, CCN 682761
• Kidney Partners Coral Gables LLC Dialysis facility, Miami, FL, CCN 682710
• HCA Florida Mercy Hospital Hospital, Plantation, FL, CCN 100167
• Mount Sinai Medical Center of Florida, Inc Hospital, Miami Beach, FL, CCN 100034

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: j_mauricio.cuellar@direct.davitaphysiciansolutions.com

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.

• Kidney Specialty Center Inc.

  • Nephrology Physician
  • Miami, FL
  • NPI 1679832679
  Medicare reassignment Care Compare group NPD Authorized official
• Leon Medical Centers LLC

  • Health Service Clinic/Center
  • Miami, FL
  • NPI 1376579839
  Medicare reassignment NPD
• QMC LLC

  dba QMC Cares

  • Hospitalist Physician
  • Miami, FL
  • NPI 1003216391
  Medicare reassignment NPD
• Kidney Partners Miami Beach, LLC

  dba KidneySPA Miami Beach

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Miami Beach, FL
  • NPI 1831856947
  NPD (past) Authorized official
• Kidney Spa LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Miami, FL
  • NPI 1316127921
  Authorized official Same address or phone
• Kidneyspa at Bird Road, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Miami, FL
  • NPI 1770205759
  NPD (past) Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kidney Spa LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Miami, FL
  • NPI 1316127921

  Dialysis facility

  Care Compare affiliation Name & address match
• Kidneyspa at Bird Road, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Miami, FL
  • NPI 1770205759

  Dialysis facility

  Care Compare affiliation Name & address match
• Kidneyspa Hialeah LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Hialeah, FL
  • NPI 1801519137

  Dialysis facility

  Care Compare affiliation Name & address match
• Mount Sinai Medical Center of Florida, Inc

  • General Acute Care Hospital
  • Miami Beach, FL
  • NPI 1912964768
  Care Compare affiliation
• Plantation General Hospital L P

  dba Plantation General Hospital

  • General Acute Care Hospital
  • Plantation, FL
  • NPI 1144274317
  Care Compare affiliation
• Plantation General Hospital LP

  dba HCA Florida Mercy Hospital

  • General Acute Care Hospital
  • Miami, FL
  • NPI 1023387479
  Care Compare affiliation

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1285617621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 NW 12TH AVE",
            "address_2": "SUITE C5",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331282205",
            "telephone_number": "305-548-4063",
            "fax_number": "305-545-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 NW 12TH AVE",
            "address_2": "STE C5",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331282205",
            "telephone_number": "305-548-4063",
            "fax_number": "305-545-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUELLAR",
        "first_name": "JUAN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME87069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2088546",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP",
            "identifier": "56924",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7042817",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO",
            "identifier": "0186346",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "5694080",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS NETWORK",
            "identifier": "9456759",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTH",
            "identifier": "981883",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00372284",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "300893",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hillarys Cuellar Mato
• Nora Cuellar Ortiz
• Aniabel Maria Cuellar Rojas
• Arlenys Del Carmen Cuellar Suarez, DMD
• Jacqueline Tatiana Cuellar, APRN
• Julio Cuellar, CBHCM-P
• Maria L Cuellar
• Maria Victoria Cuellar, ARNP
• Marlene Cuellar, APRN
• Melissa Cuellar, APRN PMHNP BC

• Nephrology Physician in Miami, FL
• Providers in Miami, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.