Healthcare Provider Details

I. General information

NPI: 1174226849
Provider Name (Legal Business Name): JONEL PIERRE-LAHENS JOISIL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2023
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1190 NE 125TH ST
NORTH MIAMI FL
33161-5020
US

IV. Provider business mailing address

1485 NE 143RD ST
NORTH MIAMI FL
33161-3016
US

V. Phone/Fax

Practice location:
  • Phone: 305-891-7500
  • Fax:
Mailing address:
  • Phone: 772-708-7109
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberTRN36700
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME176491
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberME176491
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: