Javieth H Detres, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

140765 Issued in FL

Practice address

4850 W Oakland Park Blvd Ste 136
Lauderdale Lakes, FL 33313-7277

Phone

(844) 665-4827

Fax

(877) 762-0841

NPI assigned

May 13, 2009

Last updated

Oct 2, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR, FL2 enrollments

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 2

Specialty

Internal Medicine

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Guidewell Sanitas I, LLCGroup PAC ID 9537447107, 124 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: javieth.detrescolon@wwmp.eclinicaldirectplus.com

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.

• Guidewell Sanitas I, LLC

  dba Clinisanitas

  • Family Medicine Physician
  • Doral, FL
  • NPI 1396124046
  Medicare reassignment Care Compare group NPD
• Abella Family Medical Group Corp

  • General Practice Physician
  • Coral Springs, FL
  • NPI 1972339638
  Medicare reassignment NPD
• Centro Medico del Turabo Inc

  dba Red Medica Hima San Pablo

  • Multi-Specialty Clinic/Center
  • Caguas, PR
  • NPI 1710107883
  Medicare reassignment NPD
• Kayada Corp

  • Internal Medicine Physician
  • Guaynabo, PR
  • NPI 1831412527
  Medicare reassignment NPD
• Bella Vista Hospital Inc

  • General Acute Care Hospital
  • Mayaguez, PR
  • NPI 1083636179
  NPD
• Centro Medico del Turabo Inc

  dba Nova Infusion

  • Home Infusion Therapy Pharmacy
  • Bayamon, PR
  • NPI 1811632581
  NPD

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1649404195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 MERIDIAN DR E",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330764612",
            "telephone_number": "787-240-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 W OAKLAND PARK BLVD STE 136",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333137277",
            "telephone_number": "844-665-4827",
            "fax_number": "877-762-0841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2855 N University Dr Ste 220",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330651403",
            "country_code": "US",
            "telephone_number": "954-688-9172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DETRES",
        "first_name": "JAVIETH",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-13",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "140765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yira Larissa De la Paz, M.D.
• Mirlotte Demesmin, PHARM D.
• Leot Frisch Densmore, LMHC
• Nerlande Desinord, APRN
• Jobna Desir
• Dickens Sanomi Academy
• Dickens Sanomi Corp (DSA Therapy & Health Services LLC)
• Disa Health Solutions LLC
• Diverse Multi Billing LLC
• Divine Hands Community Care Services

• Internal Medicine Physician in Lauderdale Lakes, FL
• Providers in Lauderdale Lakes, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.