Individual provider Active NPI

Aurelio Mitjans, M.D

  • Specialist
  • Hialeah, FL
National Provider Identifier
1558345595
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME26228 Issued in FL
Practice address
777 E 25TH St
Suite 109
Hialeah, FL 33013-3825
Phone
(305) 836-1077
Fax
(305) 836-5621
NPI assigned
Dec 2, 2005
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME26228 FL Primary

Addresses

Primary practice location

777 E 25TH St
Suite 109
Hialeah, FL 33013-3825

Mailing address

777 E 25TH St
Suite 109
Hialeah, FL 33013-3825
Phone (305) 836-1077

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
I20100216000757 FL Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 1456495381 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME26228FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hialeah Ekg Readers Inc Specialist CurrentSince Dec 1, 1995 Accepting new patients
Sanchez-Cazau Medical Group, P.a PastSince Dec 1, 2006 Accepting new patients
Acevedo Medical Care Group Inc Specialist PastSince Feb 18, 2013 Accepting new patients

Locations

651 E 25th St
Hialeah, FL 33013
Phone (305) 835-4370

5927 SW 70th St
Unit 439031
South Miami, FL 33243
Phone (305) 669-2833

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1558345595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 E 25TH ST",
            "address_2": "SUITE 109",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133825",
            "telephone_number": "305-836-1077",
            "fax_number": "305-836-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E 25TH ST",
            "address_2": "SUITE 109",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133825",
            "telephone_number": "305-836-1077",
            "fax_number": "305-836-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITJANS",
        "first_name": "AURELIO",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME26228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.