Individual provider Active NPI

Julio Cesar Pelaez, APRN

  • Nurse Practitioner
  • Miami, FL
National Provider Identifier
1871065334
Registry record updated Dec 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11000104 Issued in FL
Practice address
3431 SW 25TH Ter
Miami, FL 33133-2023
Phone
(786) 486-0520
NPI assigned
Dec 21, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11000104 FL Primary

Addresses

Primary practice location

3431 SW 25TH Ter
Miami, FL 33133-2023

Mailing address

3431 SW 25TH Ter
Miami, FL 33133-2023
Phone (786) 486-0520

Other names 1

  • Julio Cesar Pelaez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11000104FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Max Med Group Corp CurrentSince Mar 4, 2025 Accepting new patients
Green Mountain Med Con, Inc CurrentSince Jan 4, 2025 Accepting new patients

Locations

7925 NW 12th St
Ste 325
Doral, FL 33126
Phone (786) 580-4957

15600 SW 288th St
Ste 310
Homestead, FL 33033
Phone (305) 246-1515

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": "1545350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545350400000",
    "number": "1871065334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3431 SW 25TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332023",
            "telephone_number": "786-486-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3431 SW 25TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332023",
            "telephone_number": "786-486-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELAEZ",
        "first_name": "JULIO",
        "middle_name": "CESAR",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-21",
        "last_updated": "2018-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11000104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIO",
            "last_name": "PELAEZ",
            "middle_name": "CESAR",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.