Individual provider Active NPI

Juan Carlos Perez-Espinosa, D.O.

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1487606331
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS8059 Issued in FL
Practice address
3600 W Flagler St
Miami, FL 33135-1030
Phone
(305) 444-3411
Fax
(305) 444-4113
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS8059 FL Primary

Addresses

Primary practice location

3600 W Flagler St
Miami, FL 33135-1030

Mailing address

5780 SW 53Rd Ter
South Miami, FL 33155-6334
Phone (305) 444-3411

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
I20031119000008 FL Practitioner - Internal MedicinePractitioner - Family Practice 2264346626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manuel Perez-Espinosa MD PAGroup PAC ID 5799835393, 2 clinicians

Practice addresses (Care Compare)

3600 W Flagler St
Miami, FL 33135-1030
Phone (305) 444-4520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Manuel Perez-Espinosa MD PA Family Medicine CurrentSince Mar 1, 2016 Accepting new patients
Manuel Perez-Espinosa MD PA Current Accepting new patients
Juan C. Perez-Espinosa DO PA Past Accepting new patients
Magi Health Care Clinic Inc PastSince Jan 26, 2016 Accepting new patients
Humana Care Center Inc Family Medicine Past Accepting new patients
Noveau Med Services Past Accepting new patients
Hope for Life Wellness Center Inc PastSince Sep 9, 2010 Accepting new patients

Locations

4990 Palm Ave
Ofc
Hialeah, FL 33012
Phone (305) 444-4520

4990 Palm Ave
Hialeah, FL 33012
Phone (305) 823-8732

3600 W Flagler St
Miami, FL 33135
Phone (305) 444-4520

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312416000000",
    "number": "1487606331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5780 SW 53RD TER",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331556334",
            "telephone_number": "305-444-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351030",
            "telephone_number": "305-444-3411",
            "fax_number": "305-444-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-ESPINOSA",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2011-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS8059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.