MEDICARE: JONATHAN JOAQUIN IGLESIAS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	22656	ND
2	390200000X	Student in an Organized Health Care Education/Training Program	TRN21771	FL
3	2085R0204X	Vascular & Interventional Radiology Physician	ME150046	FL
4	208600000X	Surgery Physician	1235517558	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235517558
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONATHAN JOAQUIN IGLESIAS M.D.

Provider Business Mailing Address
First Line	:	1321 NW 14TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-1673
Country	:	US
Telephone Number	:	305-243-8272
Fax Number	:

Provider Business Practice Location Address
First Line	:	1321 NW 14TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-1673
Country	:	US
Telephone Number	:	305-243-8272
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2015
Last Update Date	:	02/20/2026

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Directions to “ JONATHAN JOAQUIN IGLESIAS M.D.” Practice Location

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