Individual provider Active NPI

Jose Antonio Prieto-Hernandez, M D

  • Internal Medicine Physician
  • Hialeah, FL
National Provider Identifier
1972535979
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0054503 Issued in FL
Practice address
7600 W 20TH Ave
Suite 112
Hialeah, FL 33016-1821
Phone
(305) 557-0000
Fax
(305) 557-0002
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0054503 FL Primary

Addresses

Primary practice location

7600 W 20TH Ave
Suite 112
Hialeah, FL 33016-1821

Mailing address

7600 W 20TH Ave
Suite 112
Hialeah, FL 33016-1821
Phone (305) 557-0000

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050608000255 FL Practitioner - Internal MedicinePractitioner - Infectious Disease 7517900913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7600 W 20TH Ave
Suite 112
Hialeah, FL 33016-1895
Phone (305) 557-0000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0054503FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guadalupe Medical Center Inc PastSince Feb 1, 2004 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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1972535979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 W 20TH AVE",
            "address_2": "SUITE 112",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161821",
            "telephone_number": "305-557-0000",
            "fax_number": "305-557-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 W 20TH AVE",
            "address_2": "SUITE 112",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161821",
            "telephone_number": "305-557-0000",
            "fax_number": "305-557-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIETO-HERNANDEZ",
        "first_name": "JOSE",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "M D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0054503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.