Active NPI
Carlos Mirabal, RPT
- Physical Therapist
- Miami, FL
National Provider Identifier
1003928201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT18702
- Practice address
- 8415 Coral Way
Suite 203
Miami, FL 33155-2305 - Phone
- (305) 265-9686
- NPI assigned
- Sep 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT18702 | FL | Primary |
Addresses
Primary practice location
8415 Coral Way
Suite 203
Miami, FL 33155-2305
Mailing address
13901 SW 75TH St
Miami, FL 33183-3011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT18702 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arq. Electro Diagnostic, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Doral, FL
- NPI 1073553319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003928201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13901 SW 75TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331833011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8415 CORAL WAY",
"address_2": "SUITE 203",
"city": "MIAMI",
"state": "FL",
"postal_code": "331552305",
"telephone_number": "305-265-9686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRABAL",
"first_name": "CARLOS",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT18702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.