Individual provider Active NPI

Antonio E Terrelonge, MD

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1386757102
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME92001 Issued in FL
Practice address
1901 NW 7TH St
Miami, FL 33125-3410
Phone
(305) 587-2414
Fax
(305) 938-8054
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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 ME92001 FL Primary

Addresses

Primary practice location

1901 NW 7TH St
Miami, FL 33125-3410

Mailing address

1901 NW 7TH St
Miami, FL 33125-3410
Phone (305) 587-2414

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
I20050127000542 FL Practitioner - Family PracticePractitioner - General PracticePractitioner - Internal Medicine 7911957923 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice
Education
Other, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

294 Westward Dr
Miami Springs, FL 33166-5260
Phone (305) 636-2762

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME92001FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
M&M Rehabilitation Center, Inc CurrentSince Sep 1, 2020 Accepting new patients
All Inclusive Preventive Care LLC Family Medicine CurrentSince Feb 1, 2022 Accepting new patients
Ermd Emergency Room Medical Doctors Inc Past Accepting new patients
Competent Group Services Inc PastSince Jan 22, 2013 Accepting new patients
A&C Pain Management Corp Family Medicine Past Accepting new patients
E and B Rehabilitation Center Inc Past Accepting new patients
Ricardo E Presas MD PA Past Accepting new patients
Angels Medical Service Inc. PastSince May 2, 2023 Accepting new patients
Ermd Inc Past Accepting new patients
PCM Medical Center Inc PastSince May 24, 2012 Accepting new patients

Locations

10250 SW 56th St
Ste A201
Miami, FL 33165
Phone (786) 220-9300

5881 NW 151st St
Ste 218
Miami Lakes, FL 33014
Phone (305) 200-3141

Organizations & group practices 12

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1386757102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 NW 7TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253410",
            "telephone_number": "305-587-2414",
            "fax_number": "305-938-8054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 NW 7TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253410",
            "telephone_number": "305-587-2414",
            "fax_number": "305-938-8054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRELONGE",
        "first_name": "ANTONIO",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME92001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.