Individual provider Active NPI

Julio Cesar Reyes-Gavilan, M.D.

  • General Practice Physician
  • Doral, FL
National Provider Identifier
1487827242
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME121514 Issued in FL
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

Updated by the provider on Apr 27, 2026

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 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

IdentifierTypeStateIssuer
003192100MedicaidFL

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
I20101115000867 FL Practitioner - General Practice 4981899051 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
La Consulta Medical Center Inc CurrentSince Dec 1, 2021 Accepting new patients
Professional Medical Research LLC CurrentSince Sep 1, 2025 Accepting new patients
Paradigm Medical Center, LLC General Practice CurrentSince Sep 19, 2011 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 PastSince Feb 9, 2013 Accepting new patients
Vision Doctors Group LLC PastSince Dec 8, 2021 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.