Individual provider Active NPI

Miguel Angel Nunez Jr., M.D.

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1467633933
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME0063184 Issued in FL
Practice address
3850 Bird Rd Ste 601
Miami, FL 33146-1514
Phone
(305) 442-0633
Fax
(305) 442-9537
NPI assigned
Nov 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME0063184 FL Primary

Addresses

Primary practice location

3850 Bird Rd Ste 601
Miami, FL 33146-1514

Mailing address

3850 Bird Rd Ste 601
Miami, FL 33146-1514
Phone (305) 442-0633

Other identifiers 1

IdentifierTypeStateIssuer
371947200MedicaidFL

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
I20071128000159 FL Practitioner - General Practice 4082651203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Georgetown University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabclinics Pta IncGroup PAC ID 0547237497, shared by 11 NPIs, 209 clinicians

Practice addresses (Care Compare)

13645 Biscayne Blvd
North Miami Beach, FL 33181-1617
Phone (305) 949-2700

1600 Ponce de Leon Blvd
Suite 905
Coral Gables, FL 33134-3991
Phone 3054420633106

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0063184FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Miguel a Nunez Jr MD PA CurrentSince Nov 29, 1992 Accepting new patients
Green Cross Health Systems Inc PastSince Dec 7, 2004 Accepting new patients

Locations

1600 Ponce de Leon Blvd
Ste 905
Coral Gables, FL 33134
Phone (305) 442-0633

3850 Bird Rd
Ste 601
Miami, FL 33146
Phone (305) 444-7114

2645 SW 37th Ave
Fl 6
Miami, FL 33133
Phone 3054420633106

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": "1196035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1467633933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 BIRD RD STE 601",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331461514",
            "telephone_number": "305-442-0633",
            "fax_number": "305-442-9537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 BIRD RD STE 601",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331461514",
            "telephone_number": "305-442-0633",
            "fax_number": "305-442-9537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-26",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME0063184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371947200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.