Individual
JUAN PREMOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME87618
FL
208800000X
Urology Physician
Primary
ME87618
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240750
WELLCARE
FL
05
—
275037600
—
FL
01
—
7845484
AETNA PROVIDER #
FL
01
—
81710
BCBS FL
FL
01
—
P0003165
FLORIDA HEALTHCARE PLUS
FL
01
—
P00721043
RR MEDICARE PTAN
FL
01
—
P01720865
SIMPLY HEALTHCARE
FL
01
—
QMP000003854191
MOLINA
FL
Enumeration date
04/13/2006
Last updated
04/10/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up