Juan C Bayolo, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN247 Issued in FL

Practice address

309 W 1St St
Sanford, FL 32771-1205

Phone

(407) 324-5035

NPI assigned

May 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Laracuente Healthcare Associates

  • Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
  • Hallandale Beach, FL
  • NPI 1184397606
  NPD
• Lha Care Corporation

  • Psychiatric/Mental Health Nurse Practitioner
  • Hallandale Beach, FL
  • NPI 1700759974
  NPD
• Primary Care Physicians of Sanford LLC

  • Family Medicine Physician
  • Sanford, FL
  • NPI 1083873897
  NPD
• Orlando Family Medical Inc

  • General Practice Physician
  • Orlando, FL
  • NPI 1982377578
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1801848478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 EGRETS LANDING DR",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327467419",
            "telephone_number": "787-587-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 W 1ST ST",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711205",
            "telephone_number": "407-324-5035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3131 Egrets Landing Dr",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327467419",
            "country_code": "US",
            "telephone_number": "787-587-6195",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "295 Patterson Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Haines City",
            "state": "FL",
            "postal_code": "338446247",
            "country_code": "US",
            "telephone_number": "863-421-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAYOLO",
        "first_name": "JUAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "15486",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301113879",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "HQ793Z",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101229200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Barriner
• Sandra Boatemaa Barrington
• Patricia Anne Bartholomew, RN
• Cortney Batten, LMHC
• Bayhead Eye Centre
• William Bazarewski, L.M.H.C.
• Beautiful Butterflies Mentoring Program, Inc.
• Joanna Beers
• Behavioral Consulting & Beyond
• Margarita S Bejarano

• General Practice Physician in Sanford, FL
• Providers in Sanford, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.