Active NPI
Juan Francisco Avon, CCPA
- Physician Assistant
- Miami, FL
National Provider Identifier
1972837938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- CI473
- Practice address
- 10000 SW 56TH St
Suite 6
Miami, FL 33165-7165 - Phone
- (786) 417-9932
- Fax
- (305) 279-4772
- NPI assigned
- Sep 23, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 | CI473 | FL | Primary |
Addresses
Primary practice location
10000 SW 56TH St
Suite 6
Miami, FL 33165-7165
Mailing address
10000 SW 56 St
Suite 6
Miami, FL 33165
Phone (786) 417-9932
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CI473 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Health Care Associates Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Chiropractor
- Miami, FL
- NPI 1639233380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253664000000",
"number": "1972837938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10000 SW 56 ST",
"address_2": "SUITE 6",
"city": "MIAMI",
"state": "FL",
"postal_code": "33165",
"telephone_number": "786-417-9932",
"fax_number": "305-279-4772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 SW 56TH ST",
"address_2": "SUITE 6",
"city": "MIAMI",
"state": "FL",
"postal_code": "331657165",
"telephone_number": "786-417-9932",
"fax_number": "305-279-4772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVON",
"first_name": "JUAN",
"middle_name": "FRANCISCO",
"name_prefix": "Mr.",
"credential": "CCPA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-23",
"last_updated": "2009-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "CI473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.