Individual provider Active NPI

Ricardo Emilio Presas, MD

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1770505224
Registry record updated Dec 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME67165 Issued in FL
Practice address
2851 Coral Way
Miami, FL 33145-3203
Phone
(305) 298-3488
NPI assigned
Jul 24, 2006
Last updated
Dec 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME67165 FL Primary
Surgery Physician 208600000X ME67165 FL

Addresses

Primary practice location

2851 Coral Way
Miami, FL 33145-3203

Mailing address

13431 SW 38TH St
Miami, FL 33175-6902
Phone (305) 297-0623

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
I20040619000023 FL Practitioner - Internal MedicinePractitioner - General PracticePractitioner - General Surgery 4284618208 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME67165FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novo Medical Group LLC CurrentSince May 30, 2023 Accepting new patients
Venetian Isle Medical OB GYN Consultant Inc CurrentSince Jul 29, 2023 Accepting new patients
Neuromuscular Physical Therapy, Inc PastSince Apr 15, 2024 Accepting new patients
Raynier Echevarria, Dcpa Past Accepting new patients
Hathor Wellcare Center Inc General Practice PastSince Sep 23, 2021 Accepting new patients

Locations

3001 W Hallandale Beach Blvd
Ste 200
Hallandale Beach, FL 33009
Phone (954) 456-4888

7270 NW 12th St
Ste 130A
Miami, FL 33126
Phone (305) 456-6997

7270 NW 12th St
Ste 410
Miami, FL 33126
Phone (305) 456-6997

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2936/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671235200000",
    "number": "1770505224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13431 SW 38TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756902",
            "telephone_number": "305-297-0623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 CORAL WAY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331453203",
            "telephone_number": "305-298-3488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESAS",
        "first_name": "RICARDO",
        "middle_name": "EMILIO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2022-12-17",
        "certification_date": "2022-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME67165",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME67165",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.