Active NPI
Juan Pastor-Cervantes, MD
- Interventional Cardiology Physician
- Hollywood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- ME75628
- Practice address
- 1150 N 35TH Ave
Suite 605
Hollywood, FL 33021 - Phone
- (954) 265-7900
- Fax
- (954) 276-0260
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | ME75628 | FL | Primary |
Addresses
Primary practice location
1150 N 35TH Ave
Suite 605
Hollywood, FL 33021
Mailing address
2900 Corporate Way
Door D
Miramar, FL 33025-3925
Phone (954) 276-5685
Other practice location 1
20803 Biscayne Blvd Ste 204
Aventura, FL 33180-1429
Phone (954) 265-7900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 268511600 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jpastorcervantes12770@MHSDIRECT.NET | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1150 N 35TH Ave
Hollywood, FL 33021-5431
Phone (954) 265-7900
20803 Biscayne Blvd
Suite 204
Aventura, FL 33180-1429
Phone (954) 265-7900
603 N Flamingo Rd
Pembroke Pines, FL 33028-1013
Phone (954) 265-7900
801 N Flamingo Rd
Pembroke Pines, FL 33028-1019
Phone (954) 265-7900
Hospital & facility affiliations
- Memorial Regional Hospital
- Memorial Hospital West
- Memorial Hospital Miramar
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 68 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Broward Hospital District | Current | Accepting new patients | |
| Cardiovascular Institute of the South, LLC | Interventional Cardiology | Past | Accepting new patients |
| University of Miami | Interventional Cardiology | Past | Accepting new patients |
| Integrated Care LLC | Interventional Cardiology | Past | Accepting new patients |
| University of Miami | Past | Accepting new patients | |
| South Broward Hospital District | Past | Accepting new patients |
Locations
20803 Biscayne Blvd
Ste 204
Aventura, FL 33180
Phone (954) 844-4480
1150 N 35th Ave
Ste 605
Hollywood, FL 33021
Phone (954) 965-2966
1150 N 35th Ave
Ste 600
Hollywood, FL 33021
Phone (954) 265-5969
2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581
603 N Flamingo Rd
Ste 255
Pembroke Pines, FL 33028
Phone (954) 265-1125
Interoperability endpoints
- jpastorcervantes12770@mhsdirect.net
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 and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Hollywood, FL
- NPI 1326479585
-
- Cardiovascular Disease Physician
- Hollywood, FL
- NPI 1255385670
Interventional Cardiology
-
- Pediatric Orthopaedic Surgery Physician
- Hollywood, FL
- NPI 1407865520
-
- Interventional Cardiology Physician
- Miami, FL
- NPI 1376933309
-
- Cardiovascular Disease Physician
- Miami, FL
- NPI 1902859747
-
- Cardiovascular Disease Physician
- Houma, LA
- NPI 1982689113
Interventional Cardiology
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pembroke Pines, FL
- NPI 1134102080
-
- General Acute Care Hospital
- Miramar, FL
- NPI 1326021197
-
- General Acute Care Hospital
- Hollywood, FL
- NPI 1780667923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615766400000",
"number": "1790738680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 CORPORATE WAY",
"address_2": "DOOR D",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330253925",
"telephone_number": "954-276-5685",
"fax_number": "954-985-7074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 N 35TH AVE",
"address_2": "SUITE 605",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "33021",
"telephone_number": "954-265-7900",
"fax_number": "954-276-0260"
}
],
"practiceLocations": [
{
"address_1": "20803 Biscayne Blvd Ste 204",
"address_purpose": "LOCATION",
"city": "Aventura",
"state": "FL",
"postal_code": "331801429",
"country_code": "US",
"telephone_number": "954-265-7900",
"fax_number": "954-933-0797",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PASTOR-CERVANTES",
"first_name": "JUAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2021-03-15",
"certification_date": "2021-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "FL",
"license": "ME75628",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "268511600",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jpastorcervantes12770@MHSDIRECT.NET",
"affiliation": "N",
"endpointDescription": "MHS DSM",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1150 N 35th Ave",
"address_2": "Suite 605",
"city": "Hollywood",
"state": "FL",
"country_code": "US",
"postal_code": "33021",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.