Individual provider Active NPI

Jose A Miguel Jr., PA

  • Physician Assistant
  • Miami, FL
National Provider Identifier
1457579096
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9104529 Issued in FL
Practice address
7500 SW 87TH Ave
200
Miami, FL 33173-5426
Phone
(305) 913-0666
Fax
(305) 675-3378
NPI assigned
Apr 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9104529 FL Primary

Addresses

Primary practice location

7500 SW 87TH Ave
200
Miami, FL 33173-5426

Mailing address

7500 SW 87TH Ave
200
Miami, FL 33173-5426
Phone (305) 913-0666

Other identifiers 1

IdentifierTypeStateIssuer
PA9104529OtherFLLICENSE

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090219000187 FL Practitioner - Physician Assistant 8729143136 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastromed LLCGroup PAC ID 2365574621, 38 clinicians

Practice addresses (Care Compare)

5101 SW 8 St
Suite 200
Miami, FL 33134-2442
Phone (305) 270-0402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9104529FLMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: josemiguel@directaddress.net

Organizations & group practices 2

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": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401667200000",
    "number": "1457579096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 SW 87TH AVE",
            "address_2": "200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331735426",
            "telephone_number": "305-913-0666",
            "fax_number": "305-675-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 SW 87TH AVE",
            "address_2": "200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331735426",
            "telephone_number": "305-913-0666",
            "fax_number": "305-675-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIGUEL",
        "first_name": "JOSE",
        "middle_name": "A",
        "name_suffix": "Jr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2014-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9104529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PA9104529",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.