Organization Active NPI

Juan a Prieto Inpatient PA

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1992249023
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
JUAN A PRIETO INPATIENT PA
Practice address
4191 El Prado Blvd
Miami, FL 33133-6311
Phone
(786) 269-9495
Fax
(305) 269-7377
NPI assigned
Dec 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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

Authorized official

Name
Juan A Prieto, MDNPI 1356382642
Title
PSTD
Phone
(786) 269-9495

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

4191 El Prado Blvd
Miami, FL 33133-6311

Mailing address

4191 El Prado Blvd
Miami, FL 33133-6311
Phone (786) 269-9495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170726002249 FL Part B Supplier - Clinic/Group Practice 2769752575 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL; Coral Gables, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481155200000",
    "number": "1992249023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4191 EL PRADO BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331336311",
            "telephone_number": "786-269-9495",
            "fax_number": "305-269-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4191 EL PRADO BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331336311",
            "telephone_number": "786-269-9495",
            "fax_number": "305-269-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN A PRIETO INPATIENT PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-08",
        "last_updated": "2016-12-08",
        "status": "A",
        "authorized_official_last_name": "PRIETO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PSTD",
        "authorized_official_telephone_number": "786-269-9495",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "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 Dec 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.