Individual provider Active NPI

Juan Barroso, M.D.

  • Adult Medicine Physician
  • Hialeah, FL
National Provider Identifier
1699863118
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
ME0042579 Issued in FL
Practice address
1435 W 49TH PL
Suite 603
Hialeah, FL 33012-3197
Phone
(305) 556-1699
Fax
(305) 556-6610
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X ME0042579 FL Primary

Addresses

Primary practice location

1435 W 49TH PL
Suite 603
Hialeah, FL 33012-3197

Mailing address

1435 W 49TH PL
Suite 603
Hialeah, FL 33012-3197
Phone (305) 556-1699

Other identifiers 1

IdentifierTypeStateIssuer
069533500MedicaidFL

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
I20110223000264 FL Practitioner - General Practice 3870774987 Reassigns benefits to 1 organization
Practice locations: Hialeah, FL

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1435 W 49TH PL
Hialeah, FL 33012-3158
Phone 3055561698305556

6790 W 13TH Ave
Hialeah, FL 33012-6339
Phone 3055561699104

Hospital & facility affiliations

  • American Home Health Providers Corp Home health agency, Hialeah, FL, CCN 109554
  • MGN Healthcare Services Home health agency, Miami Lakes, FL, CCN 103179
  • Continuum Care of Miami Dade LLC Hospice, Miami, FL, CCN 101565
  • Palmetto General Hospital Hospital, Hialeah, FL, CCN 100187
  • Palmetto Care Center and Rehab Nursing home, Hialeah, FL, CCN 105575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0042579FLMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Juan Barroso PA CurrentSince Aug 28, 2024 Accepting new patients

Locations

6790 W 13th Ave
Hialeah, FL 33012
Phone (305) 556-1699

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 5

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699863118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 W 49TH PL",
            "address_2": "SUITE 603",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123197",
            "telephone_number": "305-556-1699",
            "fax_number": "305-556-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 W 49TH PL",
            "address_2": "SUITE 603",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123197",
            "telephone_number": "305-556-1699",
            "fax_number": "305-556-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARROSO",
        "first_name": "JUAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME0042579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069533500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.