Ileana Mustelier Pomares, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ACN1318 Issued in FL

Practice address

3805 W 20TH Ave Ste 105
Hialeah, FL 33012-4532

Phone

(305) 557-2277

Fax

(786) 621-7818

NPI assigned

Nov 29, 2020

Last updated

Sep 6, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Access Medical Group of Hialeah, LLC.

  dba Community Medical Group

  • Family Medicine Physician
  • Hialeah, FL
  • NPI 1427330091
  Medicare reassignment NPD
• Access Medical Group of Miami, LLC.

  dba Community Medical Group

  • Family Medicine Physician
  • Miami, FL
  • NPI 1619259264
  Medicare reassignment NPD
• Ideal Medical Center of Miami

  • Family Medicine Physician
  • Miami, FL
  • NPI 1336473917
  NPD (past)

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

{
    "created_epoch": "1606608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1649874868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 BLUE LAGOON DR STE 365",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331267010",
            "telephone_number": "786-322-7333",
            "fax_number": "786-347-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 W 20TH AVE STE 105",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124532",
            "telephone_number": "305-557-2277",
            "fax_number": "786-621-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSTELIER POMARES",
        "first_name": "ILEANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-29",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "FL",
            "license": "RN9264333",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "022102",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ACN1318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111776200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Murillo, ARNP, FNP-BC
• Diego Marques Fontes Muritiba, MD
• Nefely Murussias
• Anelys Musibay
• Ikram Naif Mustafa, R.N,RBT
• Idierys Musumeci, PT
• Mutual Care Home Health Agency Inc
• Vera Muzykanski, LMHC
• MV Mental Solutions, Inc
• MV Research, Inc.

• Family Medicine Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.