Individual provider Active NPI

Hector Wiltz Jr, M.D

  • Dermatology Physician
  • Miami, FL
National Provider Identifier
1851404479
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME0050518 Issued in FL
Practice address
11760 SW 40TH St
Suite 451
Miami, FL 33175-3582
Phone
(305) 251-3991
Fax
(305) 251-7982
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME0050518 FL Primary

Addresses

Primary practice location

11760 SW 40TH St
Suite 451
Miami, FL 33175-3582

Mailing address

5250 SW 59TH Ave
Miami, FL 33155-6359
Phone (305) 251-3991

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
I20091031000033 FL Practitioner - Dermatology 8820135429 Reassigns benefits to 1 organization
Receives reassigned benefits from 2 practitioners
Practice locations: Miami, FL

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Temple University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Derm Group LLPGroup PAC ID 9335478908, 32 clinicians

Practice addresses (Care Compare)

11760 Bird Rd
Suite 451
Miami, FL 33175-3598
Phone (305) 245-1332

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions78
Skin biopsy18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0050518FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Derm Group LLP Dermatology CurrentSince Sep 1, 2019 Accepting new patients
Francisco Flores MD PA Dermatology Current Accepting new patients

Locations

1036 NW 1st Ave
Homestead, FL 33030
Phone (305) 227-9233

11760 SW 40th St
Ste 451
Miami, FL 33175
Phone (305) 227-9233

14601 SW 29th St
Ste 206
Miramar, FL 33027
Phone (954) 885-5551

11924 Forest Hill Blvd
Ste 10A411
Wellington, FL 33414

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00136
  • FHIR API: https://app.meldrx.com/api/fhir/ez_00135

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 2

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1851404479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 SW 59TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331556359",
            "telephone_number": "305-251-3991",
            "fax_number": "305-251-7982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 SW 40TH ST",
            "address_2": "SUITE 451",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753582",
            "telephone_number": "305-251-3991",
            "fax_number": "305-251-7982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILTZ JR",
        "first_name": "HECTOR",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME0050518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.