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

Juan Premoli, MD

Individual provider Specialist · NPI 1053375584

Juan Premoli, MD is an Urology in Aventura, Florida. Qualified in 1994, 32 years ago. Practices with Genesiscare USA of Florida LLC, a 171-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
32
Licensed in
FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

21150 Biscayne Blvd 404
Aventura, FL 33180-1226
Phone: (305) 466-9111
Fax: (305) 466-9127
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence ME87618 (FL)
Specialist Taxonomy 174400000X · Licence ME87618 (FL)

Record details

NPI number1053375584
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 13, 2006
Last updated in NPPESApril 10, 2017
Mailing address2234 Colonial Blvd, Managed Care Dept, Fort Myers, FL 33907-1412

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Genesiscare Usa Of Florida Llc — 171 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Aventura