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CARLOS HUMBERTO JAEN SR. PA
NPI 1417574450
Physician Assistant - Medical in Miami, FL

Active since June 25, 2020PECOS EnrolledAccepts Medicare Assignment
2000 SW 27TH AVE # 301, MIAMI, FL 33145(305) 461-2010(305) 648-0140 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 2, 2024, Jun 25, 2020 (2 updates tracked since 2020).

About Carlos Humberto Jaen Sr. Pa NPPES

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

CARLOS HUMBERTO JAEN SR. PA (NPI 1417574450) is an individual medical provider in Miami, Florida, licensed in Florida (PA9112833) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1417574450
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameCARLOS HUMBERTO JAEN SR.Credential: PA
Location Address2000 SW 27TH AVE # 301Miami, FL 33145-2546
Mailing Address1685 Sw 17th TerMiami, FL 33145-2809 · (305) 742-9121
Phone(305) 461-2010
Fax(305) 648-0140
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJune 25, 2020
Last NPPES UpdateJuly 2, 20242 updates tracked since enumeration
NPPES CertifiedJuly 2, 2024
✔ NPI 1417574450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · PA9112833
Also ListedAllergy & ImmunologyTaxonomy 207K00000X · License PA9112833 (FL)
Also ListedAllergy & Immunology · AllergyTaxonomy 207KA0200X · License PA9112833 (FL)
2000 SW 27TH AVE # 301, Miami, FL 33145
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.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

Carlos Humberto Jaen Sr. Pa 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 ID7618360264
PECOS Enrollment IDI20220203001952
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.

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 Carlos Jaen's NPI number?

The NPI number for Carlos Jaen is 1417574450. It was assigned to this individual provider in the NPPES registry on June 25, 2020.

Where is Carlos Jaen located?

Carlos Jaen practices at 2000 SW 27th Ave # 301, Miami, FL 33145. The listed phone number is (305) 461-2010.

What is Carlos Jaen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Carlos Jaen enrolled in Medicare?

Yes. Carlos Jaen 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 Carlos Jaen accept?

Health plans from Oscar Health Maintenance Organization of Florida list Carlos Jaen 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 Carlos Jaen was last updated on July 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.