National Provider Identifier Database

JUAN PREMOLI, MD – NPI #1053375584
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.


Contact Information

JUAN PREMOLI, MD
21150 BISCAYNE BLVD
404
AVENTURA, FL33180-1226
Phone: 305-466-9111
Fax: 305-466-9127
Website:
Specialty Taxonomy Code
* Urology 208800000X
Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for JUAN PREMOLI

NPI Number 1053375584
Credentials MD
Entity Individual
Enumeration date 04/13/2006
Last updated 04/10/2017 - About 9 years ago
Sole proprietor1 No
Identifiers
  • FL License #: ME87618
  • FL Medicaid: 275037600
  • FL Other: 7845484 AETNA PROVIDER #
  • FL Other: 81710 BCBS FL
  • FL Other: P0003165 FLORIDA HEALTHCARE PLUS
  • FL Other: QMP000003854191 MOLINA
  • FL Other: P00721043 RR MEDICARE PTAN
  • FL Other: P01720865 SIMPLY HEALTHCARE
  • FL Other: 240750 WELLCARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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