Active NPI 1922384098 Individual Practitioner Male Practitioner

Juan D Vidal , PA-C

Physician Assistant • Pembroke Pines, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Juan Vidal, PA-C is a certified Physician Assistant practicing in Pembroke Pines, FL. With approximately 15 years of clinical experience since completing medical education in 2011, Juan Vidal delivers high-quality medical care to the local community at 11460 PINES BLVD.

Juan Vidal is affiliated with Conviva Medical Center Management, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11460 Pines Blvd

Pembroke Pines, FL 330264128

Telephone 9544334200

Associated Practice Facility / Clinic

🏢 Dr Kenneth Blaze Pa And Associates Facility NPI 1932250297

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Pembroke Pines, FL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs +2.2 yrs vs City Avg

City Avg: 12.8 Yrs

State Avg: 11.1 Yrs

Regional Practice Density

95 Specialists

Practicing in Pembroke Pines, FL (10376 Statewide)

Telehealth Adoption Rate

7.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Vidal (15 Years) 15 Yrs

Pembroke Pines Specialty Average (12.8 Years) 12.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	41	$220.00	$109.62
36415 Insertion of needle into vein for collection of blood sample	104	41	$15.00	$8.65
99213 Established patient office or other outpatient visit, typically 15 minutes	34	24	$156.47	$77.97
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	31	22	$35.00	$14.07
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	25	25	$220.40	$110.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	139	44	$12.70	$7.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	113	45	$220.30	$110.92
99213 Established patient office or other outpatient visit, typically 15 minutes	31	22	$159.74	$78.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	23	23	$225.13	$111.10
93000 Routine ekg using at least 12 leads including interpretation and report	17	15	$29.06	$12.66
G0008 Administration of influenza virus vaccine	12	12	$65.00	$31.56
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	11	11	$123.64	$75.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	112	41	$221.57	$112.13
36415 Insertion of needle into vein for collection of blood sample	108	37	$5.00	$2.96
99213 Established patient office or other outpatient visit, typically 15 minutes	29	24	$158.14	$79.16
G0442 Annual alcohol misuse screening, 5 to 15 minutes	27	26	$31.00	$15.95
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	23	23	$228.00	$114.86
G0008 Administration of influenza virus vaccine	15	14	$61.00	$30.19
G0444 Annual depression screening, 5 to 15 minutes	13	13	$31.00	$16.05
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	11	11	$119.00	$70.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	127	47	$5.00	$3.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	100	43	$223.44	$115.14
99213 Established patient office or other outpatient visit, typically 15 minutes	57	34	$148.58	$81.18
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	22	22	$220.64	$116.96
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	15	14	$46.27	$29.89
G0008 Administration of influenza virus vaccine	14	12	$61.00	$17.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	162	77	$126.35	$66.72
36415 Insertion of needle into vein for collection of blood sample	95	56	$5.00	$2.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	34	$187.95	$96.29
G0444 Annual depression screening, 5 to 15 minutes	18	18	$31.00	$15.75
93000 Routine ekg using at least 12 leads including interpretation and report	16	12	$30.00	$15.23
G0009 Administration of pneumococcal vaccine	12	12	$61.00	$17.32
G0008 Administration of influenza virus vaccine	12	12	$61.00	$17.35
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	12	12	$36.75	$29.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	60	41	$126.87	$64.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	33	$182.37	$93.49
36415 Insertion of needle into vein for collection of blood sample	45	28	$5.31	$2.94
93000 Routine ekg using at least 12 leads including interpretation and report	13	11	$31.54	$15.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	44	34	$125.27	$64.12
36415 Insertion of needle into vein for collection of blood sample	20	18	$10.95	$2.94

Medical Specialties & State Licenses

CMS Verified: 2026-03-03

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9106281

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Conviva Medical Center Management, Llc

6221 N Federal Hwy, Ft Lauderdale, FL 333081903

Phone: 9544911686

Conviva Medical Center Management, Llc

11460 Pines Blvd, Pembroke Pines, FL 330264128

Phone: 9544334200

Secondary Practice Locations

1316 N State Road 7

Margate, FL 330632843

Phone: 9549689993

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners

Janet Gonzalez Orihuela , MSN, ARNP, FNP

Nurse Practitioner - Family

NPI 1154873644

Master of Science in Nursing, Advanced Registered Nurse Practitioner, Family Nurse Practitioner

Dr. Ana Sanchez Monroig , MD

Family Medicine

NPI 1245691039

Doctor of Medicine (M.D.)

Idalys Martinez , APRN

Nurse Practitioner - Gerontology

NPI 1275028441

Advanced Practice Registered Nurse

Dr. Kenneth Blaze , DO

Internal Medicine

NPI 1295761286

Doctor of Osteopathic Medicine (D.O.)

Dr. Esther Alonso , MD

Family Medicine

NPI 1568442341

Doctor of Medicine (M.D.)

Dr. Beatrice Grumberg , MD

Internal Medicine

NPI 1639106859

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

📍

Updated Business Mailing Address September 23, 2022

Registered at 6101 BLUE LAGOON DR STE 200, MIAMI, FL 331263168 (Tel: 3055002000)

📍

Updated Practice Location April 05, 2022

Registered at 11460 PINES BLVD, PEMBROKE PINES, FL 330264128 (Tel: 9544334200)

📍

Updated Practice Location August 27, 2020

Registered at 3 SW 129TH AVE, PEMBROKE PINES, FL 330271775 (Tel: 9544334200)

📍

Updated Business Mailing Address August 27, 2020

Registered at 6101 BLUE LAGOON DR STE 400, MIAMI, FL 331262051 (Tel: 3055002000)

✅

NPI Profile Active February 10, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location February 10, 2015

Registered at 1316 N STATE ROAD 7, MARGATE, FL 330632843 (Tel: 9549689993)

📍

Updated Business Mailing Address February 10, 2015

Registered at 7800 W OAKLAND PARK BLVD, SUITE E-214, SUNRISE, FL 333516741 (Tel: 9543186590)

👤

Provider Name / Credentials Updated February 10, 2015

Recorded as JUAN VIDAL, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2015

Physician Assistant (License #PA9106281 in FL)

🟢

Initial NPI Registration & Enumeration November 02, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922384098

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 02, 2011

Last Update: March 03, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6101 Blue Lagoon Dr Ste 200

Miami, FL 331263168

Phone: 3055002000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.