Jose Antonio Jaller Granados, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

166904 Issued in FL

Practice address

1150 NW 14TH St FL 2
Miami, FL 33136-2137

Phone

(305) 243-6704

NPI assigned

Feb 11, 2019

Sex

Male

Sole proprietor

No

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

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

Specialty

Dermatology

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of MiamiGroup PAC ID 3274795109, 2,346 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Univ of Miami Hospital and Clinics-Sylvester Compr Hospital, Miami, FL, CCN 100079

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: jjallergranados139485@direct.med.miami.edu

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.

• University of Miami

  • Hepatology Physician
  • Miami, FL
  • NPI 1013967827
  Medicare reassignment Care Compare group NPD
• University of Miami

  • Internal Medicine Physician
  • Miami Beach, FL
  • NPI 1124768627
  NPD
• University of Miami

  • Dermatology Physician
  • Miami, FL
  • NPI 1578512125
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• University of Miami Hospital and Clinics

  • Special Hospital
  • Miami, FL
  • NPI 1679660617
  Care Compare affiliation

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1407312887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 NW 14TH ST FL 2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331362137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 NW 14TH ST FL 2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331362137",
            "telephone_number": "305-243-6704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALLER GRANADOS",
        "first_name": "JOSE",
        "middle_name": "ANTONIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-11",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "166904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Jakubow, LMT
• Hamed Jalaeian, M.D.
• Jalal Taslimi PA
• Karen Jaled Rodriguez, OTR/L
• Parth Jalihal
• Nouhad Jalloul, PHARMD
• Jalvarez Pharmacy Inc
• Karim S Jamal, M.D.
• Emade Jaman, MD
• Jamarel Enterprises, Inc

• Dermatology Physician in Miami, FL
• Providers in Miami, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.

Verify at the official NPI Registry.