Individual provider Active NPI

Jose Ramon Puron Barreras, MD

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1457862799
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1464 Issued in FL
Practice address
1521 NW 54TH St
Miami, FL 33142-3807
Phone
(786) 594-0000
NPI assigned
Oct 13, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Student in an Organized Health Care Education/Training Program 390200000X 16017-I PR
General Practice Physician 208D00000X ACN1464 FL Primary

Addresses

Primary practice location

1521 NW 54TH St
Miami, FL 33142-3807

Mailing address

513 NW 5TH Ave Apt 1026
Florida City, FL 33034-3379
Phone (786) 716-5057

Other practice location 1

138 Ave Winston Churchill
San Juan, PR 00926-6013
Phone (787) 761-8383 ext. 16100

Other practice location 2

14411 Commerce Way Ste 310
Miami Lakes, FL 33016-1532
Phone (305) 827-2822

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
I20220905000358 FL Practitioner - General Practice 9032593363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1521 NW 54TH St
Miami, FL 33142-3807
Phone (786) 594-0000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16017-IPRMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
American Care of South Florida, Inc. General Practice CurrentSince Aug 29, 2022 Accepting new patients
American Care of South Florida, Inc. General Practice CurrentSince Aug 29, 2022 Accepting new patients
American Care of North Florida, Inc General Practice Past Accepting new patients

Locations

12171 SW 268th St
Homestead, FL 33032
Phone 30527802001020

11255 SW 211th St
Miami, FL 33189
Phone (305) 254-7576

1521 NW 54th St
Miami, FL 33142
Phone (786) 594-0000

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.

NPI Registry JSON

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1457862799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 NW 5TH AVE APT 1026",
            "city": "FLORIDA CITY",
            "state": "FL",
            "postal_code": "330343379",
            "telephone_number": "786-716-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 NW 54TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331423807",
            "telephone_number": "786-594-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "138 Ave Winston Churchill",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009266013",
            "country_code": "US",
            "telephone_number": "787-761-8383 x16100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14411 Commerce Way Ste 310",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330161532",
            "country_code": "US",
            "telephone_number": "305-827-2822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PURON BARRERAS",
        "first_name": "JOSE",
        "middle_name": "RAMON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-13",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "16017-I",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.