Individual provider Active NPI

Jose Roberto Nery, M.D.

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1376723080
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME58271 Issued in FL
Practice address
7701 SW 98TH St
Miami, FL 33156-2634
Phone
(305) 661-0171
Fax
(305) 847-8371
NPI assigned
Nov 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME58271 FL Primary

Addresses

Primary practice location

7701 SW 98TH St
Miami, FL 33156-2634

Mailing address

7110 SW 109TH Ter
Miami, FL 33156-3968
Phone (305) 661-0171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME58271FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Past Accepting new patients
University of Miami Past Accepting new patients
Good Samaritan Community Health, Inc. Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194566400000",
    "number": "1376723080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7110 SW 109TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331563968",
            "telephone_number": "305-661-0171",
            "fax_number": "305-847-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7701 SW 98TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562634",
            "telephone_number": "305-661-0171",
            "fax_number": "305-847-8371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NERY",
        "first_name": "JOSE",
        "middle_name": "ROBERTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-09",
        "last_updated": "2007-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME58271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.