Active NPI
Julio Prado, PA
- Physician Assistant
- Miami Lakes, FL
National Provider Identifier
1902835366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA 9100232
- Practice address
- 6175 NW 153Rd St
Suite 301
Miami Lakes, FL 33014-2435 - Phone
- (305) 558-9522
- Fax
- (305) 558-9520
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA 9100232 | FL | Primary |
Addresses
Primary practice location
6175 NW 153Rd St
Suite 301
Miami Lakes, FL 33014-2435
Mailing address
104 SW 180TH Ave
Pembroke Pines, FL 33029-3900
Phone (954) 442-7172
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 9100232 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grisel Mac Williams MD PA | Past | Accepting new patients | |
| First Health Care Miami Inc | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Miami Lakes, FL
- NPI 1225246804
-
- Internal Medicine Physician
- Hialeah, FL
- NPI 1083910202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902835366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 SW 180TH AVE",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330293900",
"telephone_number": "954-442-7172",
"fax_number": "954-442-7188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6175 NW 153RD ST",
"address_2": "SUITE 301",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330142435",
"telephone_number": "305-558-9522",
"fax_number": "305-558-9520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRADO",
"first_name": "JULIO",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA 9100232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.