NPIMap

Individual provider Active NPI

Juan Cancio, M.D.

  • Internal Medicine Physician
  • Hialeah, FL
National Provider Identifier
1366463796
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0056544 Issued in FL
Practice address
777 E 25TH St
Suite 510
Hialeah, FL 33013-3825
Phone
(305) 251-3991
Fax
(305) 251-7982
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0056544 FL Primary

Addresses

Primary practice location

777 E 25TH St
Suite 510
Hialeah, FL 33013-3825

Mailing address

777 E 25TH St
Suite 510
Hialeah, FL 33013-3825
Phone (305) 251-3991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100802000662 FL Practitioner - Internal Medicine 9638202336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

777 E 25TH St
Suite 510
Hialeah, FL 33013-3834
Phone (305) 691-7044

Hospital & facility affiliations

  • MGN Healthcare Services Home health agency, Miami Lakes, FL, CCN 103179
  • Princess Home Health Agency Inc Home health agency, Miami, FL, CCN 109230
  • Extended Home Health Services Inc Home health agency, Miami, FL, CCN 109408
  • Alpha Home Health Agency Corp Home health agency, Miami, FL, CCN 109239
  • Larkin Community Hospital Palm Springs Campus Hospital, Hialeah, FL, CCN 100050
  • Palmetto General Hospital Hospital, Hialeah, FL, CCN 100187
  • Susanna Wesley Health Center Nursing home, Hialeah, FL, CCN 105498

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0056544FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Juan M Cancio MD PA Internal Medicine CurrentSince Dec 27, 2009 Accepting new patients

Locations

777 E 25th St
Ste 510
Hialeah, FL 33013
Phone (305) 557-2015

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Susanna Wesley Health CenterHialeah, FL, CCN 105498 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Mar 31, 2023
Mar 31, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366463796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 E 25TH ST",
            "address_2": "SUITE 510",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133825",
            "telephone_number": "305-251-3991",
            "fax_number": "305-251-7982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E 25TH ST",
            "address_2": "SUITE 510",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133825",
            "telephone_number": "305-251-3991",
            "fax_number": "305-251-7982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANCIO",
        "first_name": "JUAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0056544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.