Daniel Carlos Mijares
Physician Assistant in Homestead, FL. Individual provider (NPI-1).
NPI number1033704580
StatusActive
Last updated in NPPESOct 24, 2024
Details
- NPI
- 1033704580
- Entity type
- Individual (NPI-1)
- Name
- Daniel Carlos Mijares
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 6, 2021
- Certification date
- Oct 24, 2024
- Last updated
- Oct 24, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 9113118 | FL | Yes |
Practice location
437 N Krome AveHomestead, FL 33030-6040
Phone 786-378-8277 · Fax 305-328-4089
Mailing address
7700 Sw 176th StPalmetto Bay, FL 33157-6244
Phone 786-564-2670
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 34 Physician Assistant providers in Homestead · All 6,159 providers in Homestead
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