Individual provider Active NPI

Jose Carlos Troncoso Sr., ARNP

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1700363397
Registry record updated Jul 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F07181655 Issued in FL
Practice address
4670 W 13TH LN Apt 406
Hialeah, FL 33012-3242
Phone
(786) 458-2822
NPI assigned
Jul 26, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F07181655 FL Primary

Addresses

Primary practice location

4670 W 13TH LN Apt 406
Hialeah, FL 33012-3242

Mailing address

4670 W 13TH LN Apt 406
Hialeah, FL 33012-3242
Phone (786) 458-2822

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190211000908 FL Practitioner - Nurse Practitioner 0648518050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1100 N Parrott Ave
Okeechobee, FL 34972-2129
Phone (863) 763-7481

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F07181655FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Community Health Centers Inc Current Accepting new patients
Florida Community Health Centers Inc CurrentSince Jan 2, 2019 Accepting new patients
Florida Community Health Centers Inc CurrentSince Jan 2, 2019 Accepting new patients
Florida Community Health Centers, Inc. Past Accepting new patients

Locations

941 SE 1st St
Belle Glade, FL 33430
Phone (561) 992-4393

1505 Delaware Ave
Fort Pierce, FL 34950
Phone (772) 461-1140

15858 SW Warfield Blvd
Indiantown, FL 34956
Phone (772) 597-3596

1100 N Parrott Ave
Okeechobee, FL 34972
Phone (863) 763-1951

1701 SE Hillmoor Dr
Ste 19
Port St Lucie, FL 34952
Phone (772) 335-8455

5827 Corporate Way
West Palm Beach, FL 33407
Phone (561) 844-9443

Interoperability endpoints

  • Direct secure messaging: jose.troncoso.1@14865.direct.athenahealth.com

Organizations & group practices 4

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 1

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": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1700363397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4670 W 13TH LN APT 406",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123242",
            "telephone_number": "786-458-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4670 W 13TH LN APT 406",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123242",
            "telephone_number": "786-458-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRONCOSO",
        "first_name": "JOSE",
        "middle_name": "CARLOS",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-26",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F07181655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.