Active NPI
Jose F Duran, BC-HIS
- Specialist
- Miami, FL
National Provider Identifier
1497856207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- AS707
- Practice address
- 10986 SW 28TH St
Miami, FL 33165-2308 - Phone
- (305) 551-8641
- Fax
- (305) 551-8641
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | AS707 | FL | Primary |
Addresses
Primary practice location
10986 SW 28TH St
Miami, FL 33165-2308
Mailing address
10986 SW 28TH St
Miami, FL 33165-2308
Phone (305) 551-8641
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 085431000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AS707 | FL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228089600000",
"number": "1497856207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10986 SW 28TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331652308",
"telephone_number": "305-551-8641",
"fax_number": "305-551-8641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10986 SW 28TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331652308",
"telephone_number": "305-551-8641",
"fax_number": "305-551-8641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURAN",
"first_name": "JOSE",
"middle_name": "F",
"credential": "BC-HIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2008-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "AS707",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "085431000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.