Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carlos Humberto Jaen Sr., PA

Individual provider Allergy & Immunology Physician · NPI 1417574450

Carlos Humberto Jaen Sr., PA is a Physician Assistant in Miami, Florida. Qualified in 2019, 7 years ago. Practices with Vitalmd Group Holding LLC, a 532-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2020
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2000 SW 27th Ave # 301
Miami, FL 33145-2546
Phone: (305) 461-2010
Fax: (305) 648-0140
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9112833 (FL)
Allergy & Immunology Physician Taxonomy 207K00000X · Licence PA9112833 (FL)
Allergy Physician Taxonomy 207KA0200X · Licence PA9112833 (FL)

Record details

NPI number1417574450
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedJune 25, 2020
Last updated in NPPESJuly 2, 2024
Certification dateJuly 2, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Vitalmd Group Holding Llc — 532 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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