Individual provider Active NPI

Isidro Pujol, D.O.

  • Specialist
  • Miami Beach, FL
National Provider Identifier
1689624231
Registry record updated Feb 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
OS7058 Issued in FL
Practice address
4302 Alton Rd
Suite 900
Miami Beach, FL 33140-2891
Phone
(305) 534-4888
Fax
(305) 675-2788
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X OS7058 FL Primary

Addresses

Primary practice location

4302 Alton Rd
Suite 900
Miami Beach, FL 33140-2891

Mailing address

4302 Alton Rd
Suite 900
Miami Beach, FL 33140-2891
Phone (305) 534-4888

Other identifiers 2

IdentifierTypeStateIssuer
57309OtherFLBCBS
030352OtherFLNHP

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
I20060908000413 FL Practitioner - Internal MedicinePractitioner - Osteopathic Manipulative Medicine 5395756597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Primary CareGroup PAC ID 5496766693, 4 clinicians

Practice addresses (Care Compare)

4302 Alton Rd
Suite 900
Miami, FL 33140-2899
Phone (305) 532-9900

Hospital & facility affiliations

  • Home Care Plus Inc Home health agency, Doral, FL, CCN 109078
  • Mount Sinai Medical Center of Florida, Inc Hospital, Miami Beach, FL, CCN 100034

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Primary Care CurrentSince Apr 1, 2006 Accepting new patients

Locations

4300 Alton Rd
Ste 209
Miami Beach, FL 33140
Phone (305) 674-2153

4302 Alton Rd
Ste 900
Miami Beach, FL 33140
Phone (305) 532-9900

Interoperability endpoints

  • Direct secure messaging: isidro.pujol.1@24162.direct.athenahealth.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265328000000",
    "number": "1689624231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD",
            "address_2": "SUITE 900",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402891",
            "telephone_number": "305-534-4888",
            "fax_number": "305-675-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD",
            "address_2": "SUITE 900",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402891",
            "telephone_number": "305-534-4888",
            "fax_number": "305-675-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUJOL",
        "first_name": "ISIDRO",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2010-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "OS7058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "57309",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP",
            "identifier": "030352",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.