Active NPI
Jorge Paoli-Bruno, M.D.
- Family Medicine Physician
- Medley, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME 110249
- Practice address
- 7911 NW 72ND Ave Ste 109B
Medley, FL 33166-2221 - Phone
- (305) 887-1005
- Fax
- (305) 887-1092
- NPI assigned
- Jul 3, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 12292 | PR | |
| Family Medicine Physician | 207Q00000X | ME 110249 | FL | Primary |
Addresses
Primary practice location
7911 NW 72ND Ave Ste 109B
Medley, FL 33166-2221
Mailing address
PO Box 227113
Doral, FL 33222-7113
Other practice location 1
12002 SW 128th Ct Ste 202
Miami, FL 33186-4643
Phone (786) 362-6114
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 110249 | FL | MD | Family Medicine Physician |
| ME110249 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Sport Medical Corp | Current | Accepting new patients | |
| La Esperanza Medical Centers Inc | Family Medicine | Current | Accepting new patients |
| Healing at Hand, Inc. | Current | Accepting new patients | |
| Health Admin SVC Inc | Past | Accepting new patients | |
| Jorge Paoli-Bruno, M.D., P.a. | Family Medicine | Past | Accepting new patients |
| Critical Care Medicine Services, Inc. | Past | Accepting new patients | |
| Emergenciologos Para Puerto Rico,CSP | Past | Accepting new patients | |
| Omy Medical Center, Corp | Past | Accepting new patients | |
| Coral Diagnostic Center Inc | Past | Accepting new patients |
Locations
7911 NW 72nd Ave
Ste 109
Medley, FL 33166
Phone (305) 887-1005
7911 NW 72nd Ave
Ste 109AB
Medley, FL 33166
Phone (305) 887-1005
7303 W Flagler St
Miami, FL 33144
Phone (305) 265-6683
6555 NW 36th St
Ste 214
Virginia Gardens, FL 33166
Phone (305) 526-8229
Organizations & group practices 9
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.
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- Family Medicine Physician
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- Critical Care Medicine (Internal Medicine) Physician
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-
- Clinic/Center
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-
- General Practice Physician
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-
- Multi-Specialty Clinic/Center
- Miami, FL
- NPI 1932718509
-
- Clinic/Center
- Hialeah, FL
- NPI 1720349988
-
- Emergency Medical Services (Emergency Medicine) Physician
- Bayamon, PR
- NPI 1346466836
-
- Community/Retail Pharmacy
- Juana Diaz, PR
- NPI 1932110053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731283200000",
"number": "1982601159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 227113",
"city": "DORAL",
"state": "FL",
"postal_code": "332227113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7911 NW 72ND AVE STE 109B",
"city": "MEDLEY",
"state": "FL",
"postal_code": "331662221",
"telephone_number": "305-887-1005",
"fax_number": "305-887-1092"
}
],
"practiceLocations": [
{
"address_1": "12002 SW 128th Ct Ste 202",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331864643",
"country_code": "US",
"telephone_number": "786-362-6114",
"fax_number": "786-362-6172",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAOLI-BRUNO",
"first_name": "JORGE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-03",
"last_updated": "2024-11-11",
"certification_date": "2024-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PR",
"license": "12292",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME 110249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medley, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.