Individual provider Active NPI

Julio Prado, PA

  • Physician Assistant
  • Miami Lakes, FL
National Provider Identifier
1902835366
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 9100232 Issued in FL
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 9100232FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Grisel Mac Williams MD PA PastSince Nov 3, 2010 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.

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

Verify at the official NPI Registry.