Active NPI
Jose Francisco Baca, MD
- Internal Medicine Physician
- Hialeah, FL
National Provider Identifier
1558308783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME57517
- Practice address
- 777 E 25TH St
Suite 509
Hialeah, FL 33013 - Phone
- (305) 696-7557
- Fax
- (305) 696-7469
- NPI assigned
- May 31, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME57517 | FL | Primary |
Addresses
Primary practice location
777 E 25TH St
Suite 509
Hialeah, FL 33013
Mailing address
777 E 25TH St
Suite 509
Hialeah, FL 33013
Phone (305) 696-7557
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 371253200 | 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)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- premiercareassociates.josefranciscobaca@131763.advancedmd-direct.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328572800000",
"number": "1558308783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 E 25TH ST",
"address_2": "SUITE 509",
"city": "HIALEAH",
"state": "FL",
"postal_code": "33013",
"telephone_number": "305-696-7557",
"fax_number": "305-696-7469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 E 25TH ST",
"address_2": "SUITE 509",
"city": "HIALEAH",
"state": "FL",
"postal_code": "33013",
"telephone_number": "305-696-7557",
"fax_number": "305-696-7469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACA",
"first_name": "JOSE",
"middle_name": "FRANCISCO",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2012-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME57517",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "371253200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.