Individual provider Active NPI

Juan M Garces, MD

  • Internal Medicine Physician
  • Miami Lakes, FL
National Provider Identifier
1619973807
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME45734 Issued in FL
Practice address
6600 Cow Pen Rd Ste 100
Miami Lakes, FL 33014-7618
Phone
(786) 453-9803
Fax
(783) 472-8921
NPI assigned
Jun 22, 2005
Reactivated
May 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0045734 FL
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME45734 FL
Internal Medicine Physician 207R00000X ME45734 FL Primary

Addresses

Primary practice location

6600 Cow Pen Rd Ste 100
Miami Lakes, FL 33014-7618

Mailing address

6600 Cow Pen Rd Ste 100
Miami Lakes, FL 33014-7618
Phone (786) 453-9803

Other identifiers 1

IdentifierTypeStateIssuer
045397800MedicaidFL

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
I20120820000330 FL Practitioner - Endocrinology 3072769447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15600 NW 67TH Ave
Suite 308
Miami Lakes, FL 33014-2176
Phone (786) 453-9803

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Centers of Miami LLC Endocrinology, Diabetes & Metabolism CurrentSince Jun 5, 2018 Accepting new patients
Juan Garces MD PA Internal Medicine PastSince Feb 25, 1984 Accepting new patients
Juan M Garces MD PA Internal Medicine PastSince Feb 25, 1984 Accepting new patients
Juan M Garces MD PA PastSince Feb 25, 1984 Accepting new patients

Locations

6600 Cow Pen Rd
Ste 100
Miami Lakes, FL 33014
Phone (786) 453-9803

15600 NW 67th Ave
Ste 308
Miami Lakes, FL 33014
Phone (305) 558-3336

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHBIBD/Endpoint/CHBIBD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1619973807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 COW PEN RD STE 100",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330147618",
            "telephone_number": "786-453-9803",
            "fax_number": "783-472-8921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 COW PEN RD STE 100",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330147618",
            "telephone_number": "786-453-9803",
            "fax_number": "783-472-8921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCES",
        "first_name": "JUAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0045734",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME45734",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME45734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045397800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

Verify at the official NPI Registry.