Individual provider Active NPI

Juan A Salazar, M.D.F.A.C.S.

  • Specialist
  • South Miami, FL
National Provider Identifier
1730136748
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0039383 Issued in FL
Practice address
6705 S Red Rd
Suite 504
South Miami, FL 33143-3622
Phone
(305) 669-7331
Fax
(305) 669-7339
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0039383 FL Primary

Addresses

Primary practice location

6705 S Red Rd
Suite 504
South Miami, FL 33143-3622

Mailing address

6705 S Red Rd Ste 504
South Miami, FL 33143-3644
Phone (305) 669-7331

Other identifiers 1

IdentifierTypeStateIssuer
042179100MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JUAN.SALAZAR@hca4.eclinicaldirectplus.com

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
I20110310000656 FL Practitioner - General SurgeryPractitioner - Vascular Surgery 4385779362

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
University of South Florida College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2000 Health Park Dr
Brentwood, TN 37027-4525

2000 Health Park Dr
Brentwood, TN 37027-4692

P O Box
Suite 430980
Miami, FL 33243-3649

Hospital & facility affiliations

  • HCA Florida Mercy Hospital Hospital, Plantation, FL, CCN 100167

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0039383FLMDSpecialist

Hospital & facility affiliations 2

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1730136748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6705 S RED RD STE 504",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433644",
            "telephone_number": "305-669-7331",
            "fax_number": "305-669-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6705 S RED RD",
            "address_2": "SUITE 504",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433622",
            "telephone_number": "305-669-7331",
            "fax_number": "305-669-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAZAR",
        "first_name": "JUAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.F.A.C.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0039383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042179100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JUAN.SALAZAR@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "6705 S Red Rd",
            "address_2": "SUITE 504",
            "city": "South Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331433622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.