Individual provider Active NPI

Mireille De Los Angeles Pupo Barroso, MD

  • General Practice Physician
  • Homestead, FL
National Provider Identifier
1760129977
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1532 Issued in FL
Practice address
27455 S Dixie Hwy
Homestead, FL 33032-8231
Phone
(305) 245-3247
Fax
(786) 475-7246
NPI assigned
May 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 16118-I PR
General Practice Physician 208D00000X ACN1532 FL Primary

Addresses

Primary practice location

27455 S Dixie Hwy
Homestead, FL 33032-8231

Mailing address

1000 NW 57TH CT Ste 400
Miami, FL 33126-3292

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
I20230912000112 FL Practitioner - General PracticePractitioner - Family Practice 3072977289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cano Health, LLCGroup PAC ID 1759565047, 141 clinicians

Practice addresses (Care Compare)

7900 NW 27TH Ave
Suite 150
Miami, FL 33147-4909
Phone (855) 226-6633

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16118-IPRMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Cano Health, LLC General Practice CurrentSince Nov 6, 2023 Accepting new patients

Locations

8333 NW 53rd St
Fl 6
Doral, FL 33166

9725 NW 117th Ave
Ste 200
Medley, FL 33178
Phone 9545149360 ext. 8515

12600 SW 120th St
Ste 101
Miami, FL 33186
Phone (305) 506-1930

1272 NW 119th St
Miami, FL 33167
Phone (407) 219-6087

4888 NW 183rd St
Ste 101
Miami Gardens, FL 33055
Phone (305) 769-9155

680 N University Dr
Pembroke Pines, FL 33024
Phone (954) 538-6868

Organizations & group practices 1

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": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1760129977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NW 57TH CT STE 400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27455 S DIXIE HWY",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330328231",
            "telephone_number": "305-245-3247",
            "fax_number": "786-475-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUPO BARROSO",
        "first_name": "MIREILLE",
        "middle_name": "DE LOS ANGELES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-18",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "16118-I",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.