Active NPI
Jose Duarte
- Physician Assistant
- Hialeah, FL
National Provider Identifier
1982751616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 7150 W 20TH Ave
Suite 615
Hialeah, FL 33016-5529 - Phone
- (305) 822-3044
- Fax
- (305) 822-8782
- NPI assigned
- Jan 4, 2007
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
7150 W 20TH Ave
Suite 615
Hialeah, FL 33016-5529
Mailing address
7150 W 20TH Ave
Suite 615
Hialeah, FL 33016-5529
Phone (305) 822-3044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA 9100372 | Other | FL | LICENSE |
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
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982751616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7150 W 20TH AVE",
"address_2": "SUITE 615",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330165529",
"telephone_number": "305-822-3044",
"fax_number": "305-822-8782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7150 W 20TH AVE",
"address_2": "SUITE 615",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330165529",
"telephone_number": "305-822-3044",
"fax_number": "305-822-8782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUARTE",
"first_name": "JOSE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "PA 9100372",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.