Individual provider Active NPI

Juan O Sejas, ARNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1740432848
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9300064 Issued in FL
Practice address
1300 NE Miami Gardens Dr Apt 301
Miami, FL 33179-4730
Phone
(305) 915-0659
NPI assigned
Oct 21, 2008
Last updated
Dec 20, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Technologist 246ZS0410X HSE9513 FL
Family Nurse Practitioner 363LF0000X 9300064 FL Primary

Addresses

Primary practice location

1300 NE Miami Gardens Dr Apt 301
Miami, FL 33179-4730

Mailing address

1300 NE Miami Gardens Dr Apt 301
Miami, FL 33179-4730
Phone (305) 915-0659

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
I20121212000239 FL Practitioner - Nurse Practitioner 6901058338 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialtycare Surgical Assist, LLCGroup PAC ID 3274446497, 33 clinicians

Practice addresses (Care Compare)

20900 Biscayne Blvd
Aventura, FL 33180-1407
Phone (305) 682-7000

7201 N University Dr
Tamarac, FL 33321-2913
Phone (954) 721-2200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
HSE9513FLMDSurgical Technologist
9300064FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Consultants in Neurological Surgery LLP CurrentSince Sep 1, 2012 Accepting new patients
Specialtycare Surgical Assist, LLC CurrentSince Jan 1, 2021 Accepting new patients
Paragon Contracting Services LLC CurrentSince Jan 6, 2016 Accepting new patients
Larkin Emergency Physicians LLC CurrentSince Nov 22, 2016 Accepting new patients

Locations

3100 SW 37th Ave
Coral Gables, FL 33134
Phone (305) 441-6868

651 E 25th St
Hialeah, FL 33013
Phone (305) 835-4370

1475 W 49th St
Hialeah, FL 33012
Phone (305) 824-4761

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

2801 N State Road 7
Margate, FL 33063
Phone (954) 683-7041

1600 Sarno Rd
Ste 15
Melbourne, FL 32935
Phone (800) 345-4565

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1740432848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 NE MIAMI GARDENS DR APT 301",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331794730",
            "telephone_number": "305-915-0659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 NE MIAMI GARDENS DR APT 301",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331794730",
            "telephone_number": "305-915-0659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEJAS",
        "first_name": "JUAN",
        "middle_name": "O",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-21",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "FL",
            "license": "HSE9513",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9300064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.