DR. JULIO DIONISIO TORRES-NAVEDO M.D.
NPI 1164423885
Otolaryngology in Hialeah, FL

Active since August 03, 2005PECOS EnrolledAccepts Medicare Assignment
87.59/100
CMS Quality Rating
7100 W 20TH AVE, SUITE 608, HIALEAH, FL 33016(305) 557-4016(305) 828-0670 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 19, 2022, Nov 27, 2019, Jan 30, 2017 (3 updates tracked since 2017).

About Dr. Julio Dionisio Torres-navedo M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JULIO DIONISIO TORRES-NAVEDO M.D. (NPI 1164423885) is an individual otolaryngology provider in Hialeah, Florida, licensed in Florida (ME35978) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Puerto Rico School Of Medicine (1978).

NPPES Registry Identity

NPI1164423885
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. JULIO DIONISIO TORRES-NAVEDOCredential: M.D.
Location Address7100 W 20TH AVE, SUITE 608Hialeah, FL 33016-1897
Mailing Address15280 Nw 79th Ct Ste 200Miami Lakes, FL 33016-5873 · (305) 558-3724 · Fax (786) 907-4485
Fax(305) 828-0670
Sole ProprietorNo
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 1978
Enumeration DateAugust 3, 2005
Last NPPES UpdateDecember 19, 20223 updates tracked since enumeration
NPPES CertifiedDecember 19, 2022
NPI 1164423885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in FL · ME35978
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
7100 W 20TH AVE, Hialeah, FL 33016

Other Identifiers 1

Medicaid069520300FL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Julio Dionisio Torres-navedo M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941333728
PECOS Enrollment IDI20100730000173
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
197 services127 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
141 services106 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
133 services97 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
117 services92 patients
Test for eardrum and muscle function 92550
This test assesses the health of your eardrum and muscles linked to hearing. A small device is placed in your ear that creates pressure changes and sounds. Your ear's responses are recorded to determine if they are functioning properly.
84 services81 patients
Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
84 services81 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.34
Promoting Interoperability91
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers16 claims16 services$24.02 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
7100 W 20TH AVE, SUITE G166
HIALEAH, FL 33016
Internal Medicine
7100 W 20TH AVE, SUITE 311
HIALEAH, FL 33016
Physical Therapist
7100 W 20TH AVE, SUITE 101
HIALEAH, FL 33016
Physician Assistant (Surgical)
7100 W 20TH AVE
HIALEAH, FL 33016
General Acute Care Hospital
7100 W 20TH AVE, SUITE 803
HIALEAH, FL 33016
Internal Medicine (Gastroenterology)
7100 W 20TH AVE, SUITE 301
HIALEAH, FL 33016
Thoracic Surgery (Cardiothoracic Vascular Surgery)
7100 W 20TH AVE, STE 806
HIALEAH, FL 33016
Neurological Surgery
7100 W 20TH AVE, SUITE G-176
HIALEAH, FL 33016

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Julio Torres-navedo's NPI number?

The NPI number for Julio Torres-navedo is 1164423885. It was assigned to this individual provider in the NPPES registry on August 3, 2005.

Where is Julio Torres-navedo located?

Julio Torres-navedo practices at 7100 W 20th Ave Suite 608, Hialeah, FL 33016. The listed phone number is (305) 557-4016.

What is Julio Torres-navedo's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Julio Torres-navedo enrolled in Medicare?

Yes. Julio Torres-navedo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Julio Torres-navedo accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida and 1 other insurer list Julio Torres-navedo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Julio Torres-navedo was last updated on December 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.