Organization Active NPI

Enrique J Huertas Jr MD PA

  • Cardiovascular Disease Physician
  • Miami, FL
National Provider Identifier
1548534597
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME 44902 Issued in FL
Legal business name
ENRIQUE J HUERTAS JR MD PA
Practice address
1831 NW 7TH St
Miami, FL 33125-3503
Phone
(305) 649-4117
Fax
(305) 649-4207
NPI assigned
Mar 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

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

Authorized official

Name
Enrique Huertas, MDNPI 1780679860
Title
Owner
Phone
(305) 649-4117

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X ME 44902 FL Primary

Addresses

Primary practice location

1831 NW 7TH St
Miami, FL 33125-3503

Mailing address

1831 NW 7TH St
Miami, FL 33125-3503
Phone (305) 649-4117

Other identifiers 1

IdentifierTypeStateIssuer
049756800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120615000383 FL Part B Supplier - Clinic/Group Practice 7719141035 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

1831 NW 7th St
Miami, FL 33125
Phone (305) 643-4746

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1548534597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 NW 7TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253503",
            "telephone_number": "305-649-4117",
            "fax_number": "305-649-4207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 NW 7TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253503",
            "telephone_number": "305-649-4117",
            "fax_number": "305-649-4207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENRIQUE J HUERTAS JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "HUERTAS",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-649-4117",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME 44902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049756800",
            "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 Mar 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.