Individual provider Active NPI

Daniel Puebla, MD

  • Emergency Medicine Physician
  • Miami Beach, FL
National Provider Identifier
1487273967
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME160543 Issued in FL
Practice address
4300 Alton Rd
Miami Beach, FL 33140-2948
Phone
(305) 674-2273
NPI assigned
Apr 14, 2020
Last updated
Oct 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 1487273967 FL
Student in an Organized Health Care Education/Training ProgramGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 390200000X ME160543 FL
Emergency Medicine Physician 207P00000X ME160543 FL Primary

Addresses

Primary practice location

4300 Alton Rd
Miami Beach, FL 33140-2948

Mailing address

4300 Alton Rd
Miami Beach, FL 33140-2948
Phone (305) 674-2273

Other practice location 1

9520 NW 58 street
Doral, FL 33178
Phone (786) 595-3900

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
I20230718002889 FL Practitioner - Emergency Medicine 8123488491 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergent Physicians of Country Walk LLCGroup PAC ID 4688916091, 33 clinicians
Emergent Physicians of West Dade, LLCGroup PAC ID 8921511353, 44 clinicians
Emergent Physicians of Miami Lakes LLCGroup PAC ID 9739617010, 22 clinicians

Practice addresses (Care Compare)

14150 SW 136TH St
Miami, FL 33186-5506
Phone (786) 204-4600

14591 SW 26TH St
Miami, FL 33175-8038
Phone (786) 888-8820

15200 NW 77TH CT
Miami Lakes, FL 33016-6033
Phone (877) 346-2211

2845 Aventura Blvd
Aventura, FL 33180-3118
Phone (305) 692-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1487273967FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Emergency Services of Miami Beach PA Single Specialty Current Accepting new patients
Emergent Physicians of Country Walk, LLC Single Specialty CurrentSince Jul 12, 2024 Accepting new patients
Emergent Physicians of Doral, LLC Single Specialty CurrentSince Jul 12, 2024 Accepting new patients
Emergent Physicians of West Dade, LLC Single Specialty CurrentSince Jun 1, 2025 Accepting new patients
Emergent Physicians of Palmetto Bay, LLC Single Specialty CurrentSince Dec 1, 2025 Accepting new patients
Sterling Emergency Services of Miami Beach PA Emergency Medicine CurrentSince Jul 6, 2023 Accepting new patients
Emergent Physicians of Miami Lakes, LLC Single Specialty CurrentSince Feb 1, 2025 Accepting new patients

Locations

14150 SW 136th St
Miami, FL 33186
Phone (786) 204-4600

14591 SW 26th St
Miami, FL 33175
Phone (786) 204-4600

2845 NE 199th St
Miami, FL 33180
Phone (305) 692-1000

4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776

15200 NW 77th Ct
Miami Lakes, FL 33016
Phone (786) 595-1800

8750 SW 144th St
Ste 100
Palmetto Bay, FL 33176
Phone (305) 253-5585

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1487273967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 ALTON RD",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402948",
            "telephone_number": "305-674-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 ALTON RD",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402948",
            "telephone_number": "305-674-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9520 NW 58 street",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "33178",
            "country_code": "US",
            "telephone_number": "786-595-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUEBLA",
        "first_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-14",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "1487273967",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "ME160543",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME160543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.