Individual provider Active NPI

Juan Carlos Acevedo-Crespo, M.D.

  • Pulmonary Disease Physician
  • Coral Gables, FL
National Provider Identifier
1720074545
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME63849 Issued in FL
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

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
377208000MedicaidFL

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
I20040303001291 FL Practitioner - Pulmonary Disease 2062309909 Reassigns benefits to 1 organization

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
Pulmonary Physicians of South Florida LLCGroup PAC ID 1850360397, 39 clinicians

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

LicenseStateTypeSpecialty
ME63849FLMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Physicians of South Florida LLC Pulmonary Disease CurrentSince Sep 1, 2004 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.

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

Verify at the official NPI Registry.