Active NPI
Julio Cesar Reyes-Gavilan, M.D.
- General Practice Physician
- Doral, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME121514
- Practice address
- 2240 NW 87TH Ave
Doral, FL 33172-2414 - Phone
- (786) 655-0095
- Fax
- (786) 870-5651
- NPI assigned
- Apr 11, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ME121514 | FL | Primary |
Addresses
Primary practice location
2240 NW 87TH Ave
Doral, FL 33172-2414
Mailing address
16015 SW 102ND LN
Miami, FL 33196-6173
Phone (786) 655-0095
Other practice location 1
10920 W Flagler St Ste 201
Miami, FL 33174-1243
Phone (786) 623-3915
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003192100 | Medicaid | FL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Consulta Medical Center Inc | Current | Accepting new patients | |
| Professional Medical Research LLC | Current | Accepting new patients | |
| Paradigm Medical Center, LLC | General Practice | Current | Accepting new patients |
| Paradigm Medical Center, LLC | General Practice | Current | Accepting new patients |
| Professional Medical Services & Management Inc. | General Practice | Past | Accepting new patients |
| Jo Medical Center Inc | Past | Accepting new patients | |
| Vision Doctors Group LLC | Past | Accepting new patients |
Locations
2500 Del Prado Blvd S
Cape Coral, FL 33904
Phone (239) 541-1095
2240 NW 87th Ave
Doral, FL 33172
Phone (786) 655-0095
4101 Ravenswood Rd
Ste 202
Fort Lauderdale, FL 33312
Phone (954) 251-3454
2400 SW 137th Ave
Miami, FL 33175
Phone (305) 456-0572
13214 SW 8th St
Miami, FL 33184
Phone (305) 590-8286
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DEBAED
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.
-
- General Practice Physician
- Doral, FL
- NPI 1285916015
-
- Primary Care Clinic/Center
- Doral, FL
- NPI 1588339832
-
- Research Clinic/Center
- Fort Lauderdale, FL
- NPI 1407596810
-
- General Practice Physician
- Miami, FL
- NPI 1831048412
-
- Health Service Clinic/Center
- Miami, FL
- NPI 1669573671
-
- Multi-Specialty Clinic/Center
- Hialeah, FL
- NPI 1417233222
General Practice
-
- Optometrist
- Fort Lauderdale, FL
- NPI 1588487458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777248000000",
"number": "1487827242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16015 SW 102ND LN",
"city": "MIAMI",
"state": "FL",
"postal_code": "331966173",
"telephone_number": "786-655-0095",
"fax_number": "786-870-5651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2240 NW 87TH AVE",
"city": "DORAL",
"state": "FL",
"postal_code": "331722414",
"telephone_number": "786-655-0095",
"fax_number": "786-870-5651"
}
],
"practiceLocations": [
{
"address_1": "10920 W Flagler St Ste 201",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331741243",
"country_code": "US",
"telephone_number": "786-623-3915",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REYES-GAVILAN",
"first_name": "JULIO",
"middle_name": "CESAR",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-11",
"last_updated": "2026-04-27",
"certification_date": "2026-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME121514",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003192100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.