MR. JOSE ANTONIO PUERTO (PHYSICIAN ASSISTANT) – Physician Assistant, NPI 1073546933
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MR. JOSE ANTONIO PUERTO (PHYSICIAN ASSISTANT)
8400, Northwest 33rd Street, Doral, Miami-Dade County, Florida, 33122, United States
SUITE 201
DORAL, FL 331221937
Phone: (786) 408-8502
Fax: (305) 402-0855
Type: Mailing
Northwest 87th Avenue, Miami Lakes, Hialeah, Miami-Dade County, Florida, 33018, United States
SUITE 101 AND 201
HIALEAH, FL 330153518
Phone: (305) 829-5000
Fax: (305) 829-5033
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $155.
Total Amount is formed as General ($155) + Research ($0) + Ownership ($0) = $155.
Last reported payment date: 2024-03-20 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($92).
Total Amount
$155
General + Research + Ownership
Payments
4
Total payment records
General Amount
$155
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $92 |
| Exact Sciences Corporation | $25 |
| Phadia US Inc. | $19 |
| GlaxoSmithKline, LLC. | $19 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-11-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161114002206 | I | Physician Assistant | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33122)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| Family Practice | FL | |
| Family Practice | CA | |
| - | FL | |
| Family Practice | FL | |
| Sleep Medicine, Family Practice | FL | |
| Internal Medicine | FL | |
| Family Practice | FL |
Reviews
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