Organization Active NPI

Juan Carlos Rey MD PA

  • Internal Medicine Physician
  • Hialeah, FL
National Provider Identifier
1720450976
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME123294 Issued in FL
Legal business name
JUAN CARLOS REY MD PA
Practice address
1435 W 49TH PL
Suite 504
Hialeah, FL 33012-3197
Phone
(954) 430-2240
Fax
(954) 430-2241
NPI assigned
Oct 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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

Authorized official

Name
Juan C Rey, MD
Title
Cfo
Phone
(954) 430-2240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME123294 FL Primary

Addresses

Primary practice location

1435 W 49TH PL
Suite 504
Hialeah, FL 33012-3197

Mailing address

1435 W 49TH PL
Suite 504
Hialeah, FL 33012-3197
Phone (954) 430-2240

Other identifiers 1

IdentifierTypeStateIssuer
014835600MedicaidFL

National Provider Directory

National Provider Directory

Locations

1435 W 49th Pl
Ste 504
Hialeah, FL 33012
Phone (305) 556-9200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1720450976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 W 49TH PL",
            "address_2": "SUITE 504",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123197",
            "telephone_number": "954-430-2240",
            "fax_number": "954-430-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 W 49TH PL",
            "address_2": "SUITE 504",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123197",
            "telephone_number": "954-430-2240",
            "fax_number": "954-430-2241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN CARLOS REY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "REY",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "954-430-2240",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME123294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014835600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.