Individual provider Active NPI

Aurelio Torres Consuegra, M.D.

  • Internal Medicine Physician
  • Pembroke Pines, FL
National Provider Identifier
1376720458
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME100637 Issued in FL
Practice address
18503 Pines Blvd Ste 306
Pembroke Pines, FL 33029-1406
Phone
(954) 442-0784
Fax
(888) 727-7735
NPI assigned
Jan 30, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2019

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 ME100637 FL Primary

Addresses

Primary practice location

18503 Pines Blvd Ste 306
Pembroke Pines, FL 33029-1406

Mailing address

18503 Pines Blvd Ste 306
Pembroke Pines, FL 33029-1406
Phone (954) 442-0784

Other practice location 1

3412 W 84th St Ste 104
Hialeah, FL 33018-4918
Phone (305) 512-9002

Other identifiers 1

IdentifierTypeStateIssuer
000479800MedicaidFL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081117000163 FL Practitioner - Internal Medicine 7911067285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Florida Doctors Group PLLCGroup PAC ID 2062775406, 3 clinicians

Practice addresses (Care Compare)

18503 Pines Blvd
Suite 306
Pembroke Pines, FL 33029-1406
Phone (954) 442-0784

Hospital & facility affiliations

  • Memorial Hospital Miramar Hospital, Miramar, FL, CCN 100285
  • Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME100637FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Doctors Group, PLLC Internal Medicine PastSince Nov 16, 2021 Accepting new patients

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1376720458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18503 PINES BLVD STE 306",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330291406",
            "telephone_number": "954-442-0784",
            "fax_number": "888-727-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18503 PINES BLVD STE 306",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330291406",
            "telephone_number": "954-442-0784",
            "fax_number": "888-727-7735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3412 W 84th St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330184918",
            "country_code": "US",
            "telephone_number": "305-512-9002",
            "fax_number": "855-840-7185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TORRES CONSUEGRA",
        "first_name": "AURELIO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-30",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME100637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000479800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.