Individual provider Active NPI

Jose A Pares, MD

  • General Practice Physician
  • Clermont, FL
National Provider Identifier
1912115445
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME135563 Issued in FL
Practice address
200 E Highland Ave Ste 1
Clermont, FL 34711-2582
Phone
(352) 432-8989
Fax
(844) 388-6186
NPI assigned
May 18, 2007
Last updated
Nov 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 11522 PR
General Practice Physician 208D00000X ME135563 FL Primary

Addresses

Primary practice location

200 E Highland Ave Ste 1
Clermont, FL 34711-2582

Mailing address

601 S Harbour Island Blvd Ste 200
Tampa, FL 33602-5925
Phone (800) 480-5243

Other practice location 1

111 Avenue A SE
Winter Haven, FL 33880-6302
Phone (863) 619-5999

Other practice location 2

140 Ave Las Cumbres
Guaynabo, PR 00969-5523
Phone (787) 783-6779

Other practice location 3

3655 Innovation Dr
Lakeland, FL 33812-4106
Phone (863) 619-5999

Other identifiers 2

IdentifierTypeStateIssuer
DP418ZOtherPRMEDICARE PTAN
21074OtherPRTRIPLE S

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040210000464 PR Practitioner - General PracticePractitioner - Pathology 6800780057 Practice locations: Guaynabo, PR
I20181109000028 FL Practitioner - General Practice 6800780057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University Central del Caribe Escuela de Medicina, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Medical Associates LLCGroup PAC ID 0648271155, 162 clinicians

Practice addresses (Care Compare)

200 E Highland Ave
Suite 1
Clermont, FL 34711-2582
Phone (352) 432-8989

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Medical Associates LLC CurrentSince Dec 5, 2022 Accepting new patients

Locations

200 E Highland Ave
Ste 1
Clermont, FL 34711
Phone (352) 394-3611

13940 N US Highway 441
Ste 102
Lady Lake, FL 32159
Phone (352) 509-9900

1803 Park Center Dr
Ste 114
Orlando, FL 32835
Phone (321) 558-6467

601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jose.pares@sl.eclinicaldirectplus.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1912115445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S HARBOUR ISLAND BLVD STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025925",
            "telephone_number": "800-480-5243",
            "fax_number": "800-928-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E HIGHLAND AVE STE 1",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112582",
            "telephone_number": "352-432-8989",
            "fax_number": "844-388-6186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Avenue A SE",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338806302",
            "country_code": "US",
            "telephone_number": "863-619-5999",
            "fax_number": "863-619-5995",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 AVE LAS CUMBRES",
            "address_purpose": "LOCATION",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695523",
            "country_code": "US",
            "telephone_number": "787-783-6779",
            "fax_number": "787-783-6779",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3655 Innovation Dr",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338124106",
            "country_code": "US",
            "telephone_number": "863-619-5999",
            "fax_number": "863-619-5995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARES",
        "first_name": "JOSE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "11522",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME135563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "DP418Z",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "21074",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.