JUAN C PALACIOS


Address: 1611 Nw 12th Ave, Box 016960 M851, Miami, FL 33136-1005
Phone: 3052436484

JUAN C PALACIOS (NPI# 1447216015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447216015
Entity Type Individual
Full Name JUAN C PALACIOS
Credential MD
Practice Address 1611 Nw 12th Ave
Box 016960 M851
Miami
FL 33136-1005
Practice Telephone 3052436484
Practice Fax Number 3052438470
Mailing Telephone 3052436484
Mailing Fax Number 3052438470
Enumeration Date 2006-04-24
Last Update Date 2015-03-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
ME84519 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 2744546-00 05

Other Providers JUAN PALACIOS

NPI Name Taxonomy Address Enumeration
1316429384 Juan Carlos Palacios Respiratory Therapist, Registered 2055 Kellogg Ave, Corona, CA 92879-3111 2018-09-05
1457859951 Juan Luis Palacios Student in an Organized Health Care Education/Training Program 1155 Mill St # W11, Reno, NV 89502-1576 2018-01-30
1497100143 Juan Jose Palacios Student in an Organized Health Care Education/Training Program 6431 Fannin St Ste Msb 3228, Houston, TX 77030-1501 2016-05-02
1851445001 Juan Palacios Dentist 100 Oconnor Dr, Suite 7, San Jose, CA 95128-1647 2007-01-23

Office Location

Street Address 1611 NW 12TH AVE
BOX 016960 M851
City MIAMI
State FL
Zip Code 33136-1005

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740286251 Karen Chitty Emergency Medicine 1611 Nw 12th Ave, Miami, FL 33136-1005 2005-06-21
1558968263 Natalie Dinger Nurse Practitioner 1611 Nw 12th Ave, Miami, FL 33136-1096 2020-10-06
1306452057 Ryan M Bukhari Dentist 1611 Nw 12th Ave, Miami, FL 33136-1096 2020-09-18
1467068155 Hussien Touny Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1096 2020-09-18
1912512310 Clementina Aurora Cabrera Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1005 2020-09-11
1184237265 Kencya Toussaint Nurse Practitioner 1611 Nw 12th Ave, Miami, FL 33136-1096 2020-08-28
1568075976 Manuel Molina Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1005 2020-08-25
1063025468 Carlos Federico Moral Ortega Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1096 2020-08-25
1770195919 Ezekiel Oluwasayo Ijaopo Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1005 2020-08-19
1568070258 Virosh Dharmadasa Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1005 2020-07-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548875685 Agustina Dirocco Registered Nurse 1611 Ne 12th Ave, Miami, FL 33136 2020-09-15
1093338451 Krizia Amy Vinck Clinical Neuropsychologist 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 2020-05-20
1992327761 Jorge Luis Cardenas Alvarez Student in an Organized Health Care Education/Training Program 1611 Nw 12 Avenue Central Room 600-d, Miami, FL 33136 2020-05-14
1104447036 Denver Steven Pinto Student in an Organized Health Care Education/Training Program 1611 Nw 12 Avenue Jackson Memorial Hospital, West Wing 279 Emergency Radiology, Miami, FL 33136 2020-05-01
1992325724 Dimple Kumar Chanamolu Student in an Organized Health Care Education/Training Program Deptarment of Urology University of Miama Miller School, Crb 1120 Nw 14th Street Suite 1551c, Miami, FL 33136 2020-04-22
1578100996 Alex Aziz Al Khoury Internal Medicine 1120 Nw 14th St. Suite 1112, Miami, FL 33136 2019-12-04
1437708872 Marie Jeanjean Genetic Counselor, MS 1501 Nw 10th Avenue, Brb 334 (m860), Miami, FL 33136 2019-09-09
1710543905 Tal Friehmann Student in an Organized Health Care Education/Training Program Jackson Memorial Hospital, Breast Imaging Dep, 1611 Nw 12 Avenue, Miami, FL 33136 2019-05-14
1285297895 Omar Munoz Student in an Organized Health Care Education/Training Program 1611 Nw 12th Av., Psychiatry Department, Miami, FL 33136 2019-04-18
1902369648 Seyedeh Haleh Amirian Student in an Organized Health Care Education/Training Program 1611 12th Avenue, Holtz Buiding, East Tower, 2169, Miami, FL 33136 2019-04-10
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Taxonomy Information

Taxonomy Code 207RG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Geriatric Medicine

Taxonomy Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659891018 Pocketdoc Physicians Pa Internal Medicine 333 Se 2nd Ave Ste 2000, Miami, FL 33131-2185 2017-06-26
1780939496 Raymond Molano M.d.p.a Internal Medicine 14300 Sw 33rd St, Miami, FL 33175-7434 2012-07-18
1740418300 Robert David Bonnell Internal Medicine 5400 Sw 64th Ave, Miami, FL 33155-6435 2009-06-22
1336336148 Elizabeth L Rogers Internal Medicine 7772 Fisher Island Dr, Miami, FL 33109-0955 2007-09-26
1346375540 Lai-yuan Liu Internal Medicine 1321 N.w. 14 St, #602, Miami, FL 33125 2007-02-21
1659434207 Rogelio Cattan Internal Medicine 19800 Sw 190th St, Miami, FL 33187-1818 2006-12-18
1508944877 Luis R Padron Md Pa Internal Medicine 9580 Sw 107th Avenue, Suite 101, Miami, FL 33176-2792 2006-11-02
1043242639 Ricardo H Blondet Internal Medicine 295 Ne 51st St Apt 2, Miami, FL 33137-2883 2006-07-06
1801865076 Luis R Padron Internal Medicine 9580 Sw 107th Ave, Suite 101, Miami, FL 33176-2789 2006-03-17
1013999663 Argelia Del Rosario Galvez Internal Medicine 6240 Sw 85th Ave, Miami, FL 33143-1540 2005-11-18
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Competitor

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City MIAMI
Zip Code 33136

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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