Jose R Prieto MD PA

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

JOSE R PRIETO MD PA

Practice address

214 Morrison Rd Ste 104
Brandon, FL 33511-4849

Phone

(813) 681-6474

Fax

(813) 654-8473

NPI assigned

Sep 25, 2019

Organization subpart

No

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

Authorized official

Name

Tara Kowalski

Title

HR

Phone

(630) 655-7290

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569369600000",
    "number": "1356992846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MCCLINTOCK DR STE 202",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270872",
            "telephone_number": "630-655-7290",
            "fax_number": "630-734-4685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 MORRISON RD STE 104",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114849",
            "telephone_number": "813-681-6474",
            "fax_number": "813-654-8473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE R PRIETO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-25",
        "last_updated": "2019-09-25",
        "status": "A",
        "authorized_official_last_name": "KOWALSKI",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "HR",
        "authorized_official_telephone_number": "630-655-7290"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Jordan-Gonzalez, MD
• Anita Jordan
• Jordyn Healthcare Services
• Jorge L Perez Polanco MD Inc
• Jose a. Berrios, MD PA
• Jose R Prieto MD PA (Bay Area Infectious Disease Associates)
• Josy Jose
• Jyothis Jose
• Edzard Joseph-Jules
• Sandy Joseph

• Infusion Therapy Clinic/Center in Brandon, FL
• Providers in Brandon, FL by specialty
• Infusion Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.