Active NPI
Jose M Royo, PHYSICIAN ASSISTANT
- Medical Physician Assistant
- Miami, FL
National Provider Identifier
1568656452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9100892
- Practice address
- 11354 SW 184TH St
Miami, FL 33157-6570 - Phone
- (305) 971-8151
- Fax
- (305) 971-8151
- NPI assigned
- Sep 4, 2007
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9100892 | FL | Primary |
Addresses
Primary practice location
11354 SW 184TH St
Miami, FL 33157-6570
Mailing address
11354 SW 184TH St
Miami, FL 33157-6570
Phone (305) 971-8151
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9100892 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Med Professional Services Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Miami, FL
- NPI 1548332893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199836800000",
"number": "1568656452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11354 SW 184TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331576570",
"telephone_number": "305-971-8151",
"fax_number": "305-971-8151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11354 SW 184TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331576570",
"telephone_number": "305-971-8151",
"fax_number": "305-971-8151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROYO",
"first_name": "JOSE",
"middle_name": "M",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-04",
"last_updated": "2008-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9100892",
"primary": true
}
],
"identifiers": [],
"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 Jan 9, 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.