Juan Haydar, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

ME0074492 Issued in FL

Practice address

651 E 25TH St
Emergency Department
Hialeah, FL 33013-3814

Phone

(305) 693-6100

Fax

(904) 346-0113

NPI assigned

Jan 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Larkin Emergency Physicians LLC

  • Emergency Medicine Physician
  • Hialeah, FL
  • NPI 1831558626
  Medicare reassignment NPD
• Sterling Emergency Physicians of Hialeah PA

  • Emergency Medicine Physician
  • Hialeah, FL
  • NPI 1801881867
  NPD (past)

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1497734636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 534221",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303534221",
            "telephone_number": "305-651-2270",
            "fax_number": "904-346-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 E 25TH ST",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133814",
            "telephone_number": "305-693-6100",
            "fax_number": "904-346-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYDAR",
        "first_name": "JUAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-16",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME0074492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "44978",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Havana Med Supplies, Inc
• Haven Adult Day Care LLC
• Havy General Corporation
• Faris Z Hawatmeh, DO
• Bledar Haxhiu, MD
• Haydee Lemos Inc.
• Orlando Rene Hayes Hernandez
• Jessica C Hayward, O.D.
• Ingrid Marie Haza, MD
• HB South Future & Services,Inc

• Emergency Medicine Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.

Verify at the official NPI Registry.