Individual provider Active NPI

Miguel R Mustelier

  • Technician
  • Doral, FL
National Provider Identifier
1750793733
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
TechnicianTaxonomy code 374700000X
License
273505 Issued in FL
Practice address
10450 NW 33Rd St Unit 205
Doral, FL 33172-1005
Phone
(786) 206-3155
NPI assigned
May 27, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Technician 374700000X 273505 FL Primary

Addresses

Primary practice location

10450 NW 33Rd St Unit 205
Doral, FL 33172-1005

Mailing address

10450 NW 33Rd St Unit 205
Doral, FL 33172-1005
Phone (786) 206-3155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
273505FLMDTechnician

Practice roles

OrganizationSpecialtyStatusNew patients
Nextlevel Complete Family Care Inc CurrentSince May 18, 2023 Accepting new patients
Ronoel Penalver Mdpa PastSince May 14, 2023 Accepting new patients

Locations

10450 NW 33rd St
Unit 205
Doral, FL 33172
Phone (786) 206-3155

Organizations & group practices 2

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": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1750793733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10450 NW 33RD ST UNIT 205",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721005",
            "telephone_number": "786-206-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10450 NW 33RD ST UNIT 205",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721005",
            "telephone_number": "786-206-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSTELIER",
        "first_name": "MIGUEL",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-27",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": "FL",
            "license": "273505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.