Organization Active NPI

Juan a. Bereao, MD, PA

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1851526388
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME97447 Issued in FL
Legal business name
JUAN A. BEREAO, MD, PA
Practice address
8352 SW 8TH St
Miami, FL 33144-4180
Phone
(305) 262-8282
Fax
(305) 262-8295
NPI assigned
May 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Ernesto Gonzalez
Title
Office Manager
Phone
(305) 262-8282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME97447 FL Primary

Addresses

Primary practice location

8352 SW 8TH St
Miami, FL 33144-4180

Mailing address

8352 SW 8TH St
Miami, FL 33144-4180
Phone (786) 343-9783

Other identifiers 1

IdentifierTypeStateIssuer
278705900MedicaidFL

National Provider Directory

National Provider Directory

Locations

8352 SW 8th St
Miami, FL 33144
Phone (305) 262-8282

NPI Registry JSON

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1851526388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8352 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331444180",
            "telephone_number": "786-343-9783",
            "fax_number": "305-228-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8352 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331444180",
            "telephone_number": "305-262-8282",
            "fax_number": "305-262-8295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN A. BEREAO, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-28",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "305-262-8282",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME97447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278705900",
            "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 Mar 7, 2023; 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.