Jacobo Duharte Ganfong, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN1689 Issued in FL

Practice address

1600 NE Miami Gardens Dr
Miami, FL 33179-4900

Phone

(786) 248-5374

NPI assigned

Dec 7, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Clinica Las Mercedes, LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Miami, FL
  • NPI 1326090960

  General Practice

  Medicare reassignment NPD
• Clinica Las Mercedes, LLC

  • Multi-Specialty Clinic/Center
  • Tamarac, FL
  • NPI 1518673565
  NPD

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1295502417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 NW 7TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253700",
            "telephone_number": "305-631-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 NE MIAMI GARDENS DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331794900",
            "telephone_number": "786-248-5374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUHARTE GANFONG",
        "first_name": "JACOBO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-07",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan C Dugdill, D.CLIN.PSYCH.
• Roopa Duggirala, RPH
• Clara Dugrot-Harris, LCSW
• Christina Dugrot, CTRS
• Johane Dugue
• Kamille Duharte
• Natalie D Duider, OD
• Adrienne Duke
• Caleb A Dukeman, MD
• Chanequa Dukes

• General Practice Physician in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.

Verify at the official NPI Registry.