Active NPI
Jessica Telleria-Cano, MD
- Diagnostic Radiology Physician
- South Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME156330
- Practice address
- 7000 SW 62ND Avenue
Suite 600
South Miami, FL 33143-4728 - Phone
- (305) 284-7577
- Fax
- (305) 284-7688
- NPI assigned
- Mar 21, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME156330 | FL | Primary |
Addresses
Primary practice location
7000 SW 62ND Avenue
Suite 600
South Miami, FL 33143-4728
Mailing address
9220 SW 101St St
Miami, FL 33176-3039
Phone (305) 322-4864
Other practice location 1
1435 W 49th Place
Suite 402
Hialeah, FL 33012-3147
Phone (305) 907-8526
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Florida International Univ, College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7000 SW 62 Ave
Suite 600
South Miami, FL 33143-4721
Phone (305) 284-7700
7950 NW 2ND St
Miami, FL 33126-8017
Phone (305) 907-4147
Hospital & facility affiliations
- Larkin Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leon Medical Centers LLC | Current | Accepting new patients | |
| Advanced Multispecialty Medical Services LLC | Current | Accepting new patients | |
| Cira Michigan PC | Diagnostic Radiology | Past | Accepting new patients |
Locations
8600 NW 41st St
Doral, FL 33166
Phone (305) 642-1511
1435 W 49th Pl
Ste 402
Hialeah, FL 33012
Phone (305) 907-8526
1475 W 49th St
Hialeah, FL 33012
Phone (305) 824-4761
11501 SW 40th St
Miami, FL 33165
Phone (305) 646-3716
7950 NW 2nd St
Miami, FL 33126
Phone (305) 552-8822
5996 SW 70th St
Fl 3
South Miami, FL 33143
7031 SW 62nd Ave
South Miami, FL 33143
Phone (305) 284-7585
7000 SW 62nd Ave
Ste 600
South Miami, FL 33143
Phone (305) 284-7577
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.
-
- Specialist
- South Miami, FL
- NPI 1891079125
-
- Health Service Clinic/Center
- Miami, FL
- NPI 1376579839
-
- Diagnostic Radiology Physician
- Escanaba, MI
- NPI 1972141513
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Miami, FL
- NPI 1952311243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734393600000",
"number": "1407387558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9220 SW 101ST ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331763039",
"telephone_number": "305-322-4864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7000 SW 62ND AVENUE",
"address_2": "SUITE 600",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331434728",
"telephone_number": "305-284-7577",
"fax_number": "305-284-7688"
}
],
"practiceLocations": [
{
"address_1": "1435 W 49th Place",
"address_2": "Suite 402",
"address_purpose": "LOCATION",
"city": "Hialeah",
"state": "FL",
"postal_code": "330123147",
"country_code": "US",
"telephone_number": "305-907-8526",
"fax_number": "305-907-0228",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TELLERIA-CANO",
"first_name": "JESSICA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-21",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME156330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.