Active NPI
Juan Carlos Acevedo-Crespo, M.D.
- Pulmonary Disease Physician
- Coral Gables, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- ME63849
- Practice address
- 747 Ponce de Leon Blvd
Suite 500
Coral Gables, FL 33134-2049 - Phone
- (305) 648-1119
- Fax
- (305) 648-1129
- NPI assigned
- Sep 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ME63849 | FL | Primary |
Addresses
Primary practice location
747 Ponce de Leon Blvd
Suite 500
Coral Gables, FL 33134-2049
Mailing address
8600 SW 92ND St
Suite 204a
Miami, FL 33156-7397
Phone (305) 436-9933
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 377208000 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
198 NW 37TH Ave
Miami, FL 33125-4826
Phone (305) 267-5544
5000 University Dr
Coral Gables, FL 33146-2008
Phone (305) 779-7381
8600 SW 92ND St
Suite 204B
Miami, FL 33156-7377
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME63849 | FL | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulmonary Physicians of South Florida LLC | Pulmonary Disease | Current | Accepting new patients |
| Mercy Medical Development Inc | Pulmonary Disease | Past | Accepting new patients |
| Inphynet Contracting Services LLC | Past | Accepting new patients |
Locations
747 Ponce de Leon Blvd
Ste 500
Coral Gables, FL 33134
Phone (305) 648-1119
3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131
198 NW 37th Ave
#2
Miami, FL 33125
1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416
5000 University Dr
Miami, FL 33146
Phone (305) 666-2111
8600 SW 92nd St
Ste 204A
Miami, FL 33156
Phone (305) 436-9933
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 3
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.
-
- Pulmonary Disease Physician
- Miami, FL
- NPI 1902892060
-
- Emergency Medicine Physician
- Delray Beach, FL
- NPI 1073556767
-
- Diagnostic Radiology Physician
- Miami, FL
- NPI 1992787576
Pulmonary Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658793600000",
"number": "1720074545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8600 SW 92ND ST",
"address_2": "SUITE 204A",
"city": "MIAMI",
"state": "FL",
"postal_code": "331567397",
"telephone_number": "305-436-9933",
"fax_number": "305-500-2137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "747 PONCE DE LEON BLVD",
"address_2": "SUITE 500",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331342049",
"telephone_number": "305-648-1119",
"fax_number": "305-648-1129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACEVEDO-CRESPO",
"first_name": "JUAN",
"middle_name": "CARLOS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-27",
"last_updated": "2022-07-26",
"certification_date": "2022-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "ME63849",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "377208000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.