Antonio M Juan, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

0025128 Issued in FL

Practice address

750 SW 49TH Ave
Coral Gables, FL 33134-1307

Phone

(305) 448-4002

Fax

(305) 448-1956

NPI assigned

Oct 11, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Cicero Ortho-Med Center Inc

  • Orthopaedic Surgery Physician
  • Miami, FL
  • NPI 1780772822
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396833380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 SW 49TH AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341307",
            "telephone_number": "305-448-4002",
            "fax_number": "305-448-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 SW 49TH AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341307",
            "telephone_number": "305-448-4002",
            "fax_number": "305-448-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUAN",
        "first_name": "ANTONIO",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "0025128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy Life Nursing Inc
• JRM Pharmacy Inc (Super Drugs Pharmacy)
• Juan C. Bird DMD PA
• Juan Camilo Gomez MD PLLC
• Juan D Oms MD PA
• Pedro E Juan, M.D
• Sintia Juarez
• Jubidental Services Corp
• Oscar Jubis, LCSW
• Norella S. Jubiz, PHD

• Orthopaedic Surgery Physician in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.