Juan J Carrere MD LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

ME85054 Issued in FL

Legal business name

JUAN J CARRERE MD LLC

Practice address

13710 Metropolis Ave
Suite 110
Fort Myers, FL 33912-7144

Phone

(239) 415-2273

Fax

(239) 415-2280

NPI assigned

Sep 30, 2008

Last updated

Oct 7, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Juan J Carrere, MD

Title

Managing Member

Phone

(814) 913-1440

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1689825358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 TREASURE LK",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158019043",
            "telephone_number": "814-913-1440",
            "fax_number": "814-913-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13710 METROPOLIS AVE",
            "address_2": "SUITE 110",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339127144",
            "telephone_number": "239-415-2273",
            "fax_number": "239-415-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN J CARRERE MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "CARRERE",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "814-913-1440",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME85054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AQ777",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DO8380",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pallavi Jugale
• Michael Monroe Jugan, D.O.
• Jennifer Julesbest

• Medical Specialty Clinic/Center in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.