Active NPI
Demis Javier Rey, ARNP
- Family Nurse Practitioner
- Hialeah, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9351637
- Practice address
- 900 W 49TH St Ste 450
Hialeah, FL 33012-3487 - Phone
- (305) 560-4995
- NPI assigned
- Nov 6, 2016
- Last updated
- Jul 12, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9351637 | FL | Primary |
Addresses
Primary practice location
900 W 49TH St Ste 450
Hialeah, FL 33012-3487
Mailing address
11461 SW 42ND Ter
Miami, FL 33165-4620
Phone (786) 439-5657
Other practice location 1
2450 SW 137th Ave Ste 232
Miami, FL 33175-6320
Phone (305) 560-4995
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 721059 | Medicaid | FL |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14701 NW 77TH Ave
Miami Lakes, FL 33014-2500
Phone (786) 662-0700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9351637 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Criticare Clinics Inc | Current | Accepting new patients | |
| South Florida Wound and Ostomy Care | Past | Accepting new patients |
Locations
4741 S University Dr
Davie, FL 33328
Phone (954) 837-1050
14701 NW 77th Ave
Miami Lakes, FL 33014
Phone (305) 669-2833
15885 Pines Blvd
Pembroke Pines, FL 33027
Phone (954) 837-1300
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Miami Lakes, FL
- NPI 1508871948
-
- Internal Medicine Physician
- Miami, FL
- NPI 1891506903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626048000000",
"number": "1366984551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11461 SW 42ND TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331654620",
"telephone_number": "786-439-5657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 W 49TH ST STE 450",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330123487",
"telephone_number": "305-560-4995"
}
],
"practiceLocations": [
{
"address_1": "2450 SW 137th Ave Ste 232",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331756320",
"country_code": "US",
"telephone_number": "305-560-4995",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REY",
"first_name": "DEMIS",
"middle_name": "JAVIER",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-11-06",
"last_updated": "2021-07-12",
"certification_date": "2021-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9351637",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "721059",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.