Individual provider Active NPI

Juan C Romero, P.A.

  • Physician Assistant
  • Hialeah, FL
National Provider Identifier
1912943614
Registry record updated Nov 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9101558 Issued in FL
Practice address
4218 E 4TH Ave
Hialeah, FL 33013-2306
Phone
(305) 266-2929
Fax
(786) 558-9980
NPI assigned
Jun 21, 2006
Last updated
Nov 22, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2017

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 PA9101558 FL Primary

Addresses

Primary practice location

4218 E 4TH Ave
Hialeah, FL 33013-2306

Mailing address

8750 NW 36TH St Ste 300
Doral, FL 33178-2499
Phone (305) 262-1610

Other identifiers 1

IdentifierTypeStateIssuer
PA9101558OtherFLPHYSICIAN ASST LICENSE

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040131000011 FL Practitioner - Physician Assistant 9830092337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centrum Medical Holdings, LLCGroup PAC ID 8820422991, 51 clinicians

Practice addresses (Care Compare)

7200 NW 7TH St
Miami, FL 33126-2941
Phone (305) 266-2929

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9101558FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medcare Centers, LLC CurrentSince Oct 9, 2019 Accepting new patients
Centrum Medical Holdings, LLC Dba Centrum Health CurrentSince Nov 25, 2019 Accepting new patients
Centrum Medical Centers Kendall, LLC CurrentSince Nov 25, 2019 Accepting new patients
Centrum Medical Holdings, LLC Past Accepting new patients

Locations

1801 N University Dr
Ste 101
Coral Springs, FL 33071
Phone (954) 344-8100

10980 SW 184th St
Cutler Bay, FL 33157
Phone (305) 266-2928

8844A W State Road 84
Ste G10
Davie, FL 33324

9250 NW 36th St
Ste 420
Doral, FL 33178
Phone (786) 447-4582

3690 Davie Blvd
Ft Lauderdale, FL 33312
Phone (954) 833-0010

1460 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 455-2385

4218 E 4th Ave
Hialeah, FL 33013
Phone (305) 828-1971

900 W 49th St
Ste 101
Hialeah, FL 33012

900 W 49th St
Ste 206
Hialeah, FL 33012
Phone (305) 571-6292

900 W 49th St
Ste 308
Hialeah, FL 33012
Phone (305) 558-6622

2229 Sheridan St
Hollywood, FL 33020
Phone (954) 251-2381

28610 SW 157th Ave
Homestead, FL 33033
Phone (786) 873-1805

3138 N Federal Hwy
Lighthouse Point, FL 33064

612 S State Road 7
Margate, FL 33068
Phone (954) 535-1919

11825 SW 26th St
Miami, FL 33175
Phone (305) 588-0570

7200 NW 7th St
Ste 150
Miami, FL 33126
Phone (305) 264-6270

4767 NW 183rd St
Miami Gardens, FL 33055
Phone (305) 351-9337

12709 Miramar Pkwy
Miramar, FL 33027
Phone (786) 970-8010

5730 SW 74th St
Ste 200
South Miami, FL 33143

Organizations & group practices 4

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511308800000",
    "number": "1912943614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8750 NW 36TH ST STE 300",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782499",
            "telephone_number": "305-262-1610",
            "fax_number": "305-907-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4218 E 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330132306",
            "telephone_number": "305-266-2929",
            "fax_number": "786-558-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "JUAN",
        "middle_name": "C",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2017-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASST LICENSE",
            "identifier": "PA9101558",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.