Active NPI
Joaquin J Fuenmayor, MD
- Specialist
- Miami, FL
National Provider Identifier
1811983679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME42923
- Practice address
- 11880 Bird Rd Ste 402
Miami, FL 33175-3575 - Phone
- (305) 226-0080
- Fax
- (305) 226-0707
- NPI assigned
- Sep 26, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | ME42923 | FL | Primary |
Addresses
Primary practice location
11880 Bird Rd Ste 402
Miami, FL 33175-3575
Mailing address
PO Box 650130
Miami, FL 33265-0130
Phone (305) 226-0080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 371455100 | Medicaid | FL |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110114000759 | FL | Practitioner - Otolaryngology | 0143419564 | Practice locations: Miami, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11760 S W 40TH St
Suite 557
Miami, FL 33175-8100
Phone (305) 226-0080
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603411200000",
"number": "1811983679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 650130",
"city": "MIAMI",
"state": "FL",
"postal_code": "332650130",
"telephone_number": "305-226-0080",
"fax_number": "305-228-5478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11880 BIRD RD STE 402",
"city": "MIAMI",
"state": "FL",
"postal_code": "331753575",
"telephone_number": "305-226-0080",
"fax_number": "305-226-0707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUENMAYOR",
"first_name": "JOAQUIN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-26",
"last_updated": "2020-10-23",
"certification_date": "2020-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME42923",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "371455100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.