Individual provider Active NPI

Julio Jorge, M.D.

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1861441156
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0064851 Issued in FL
Practice address
9560 SW 107TH Ave
Suite A104
Miami, FL 33176-2787
Phone
(305) 596-1913
NPI assigned
May 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0064851 FL Primary

Addresses

Primary practice location

9560 SW 107TH Ave
Suite A104
Miami, FL 33176-2787

Mailing address

9560 SW 107TH Ave
Suite A104
Miami, FL 33176-2787
Phone (305) 596-1913

Other identifiers 1

IdentifierTypeStateIssuer
374737900MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address julio.jorge@phpllc.eclinicaldirectplus.com

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
I20050408000522 FL Practitioner - Internal Medicine 3375580616 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primehealth Physicians LLCGroup PAC ID 0042456907, 34 clinicians

Practice addresses (Care Compare)

9560 SW 107TH Ave
Suite 104
Miami, FL 33176-2790
Phone (305) 596-1913

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0064851FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Value Healthcare Partners CurrentSince Mar 9, 2025 Accepting new patients
Hospital Authority of Valdosta and Lowndes County, Georgia Past Accepting new patients

Locations

14680 SW 8th St
Ste 211
Miami, FL 33184
Phone (305) 253-4340

14680 SW 8th St
Ste 205
Miami, FL 33184
Phone (305) 549-8937

9560 SW 107th Ave
Ste 104
Miami, FL 33176
Phone (305) 596-1913

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1861441156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9560 SW 107TH AVE",
            "address_2": "SUITE A104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762787",
            "telephone_number": "305-596-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9560 SW 107TH AVE",
            "address_2": "SUITE A104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762787",
            "telephone_number": "305-596-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGE",
        "first_name": "JULIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0064851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374737900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "julio.jorge@phpllc.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "9560 SW 107th Ave",
            "address_2": "SUITE A104",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331762787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.