Individual provider Active NPI

Carlos Luis Trabanco, M.D

  • Surgery Physician
  • Coral Gables, FL
National Provider Identifier
1013078278
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
49296 Issued in FL
Practice address
3735 SW 8TH St Ste 204
Coral Gables, FL 33134-3161
Phone
(305) 445-2550
Fax
(305) 551-1710
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 49296 FL Primary

Addresses

Primary practice location

3735 SW 8TH St Ste 204
Coral Gables, FL 33134-3161

Mailing address

3735 SW 8TH St Ste 204
Coral Gables, FL 33134-3161
Phone (305) 445-2550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111019000615 FL Practitioner - General SurgeryPractitioner - General PracticePractitioner - Vascular Surgery 1355513243 Practice locations: Coral Gables, FL

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: General Practice, Vascular Surgery
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3735 S W 8TH St
Suite 204
Coral Gables, FL 33134-3161
Phone (305) 445-2550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision41
Removal of tissue366
Removal of skin lesions39
Removal of nail tissue16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
49296FLMDSurgery Physician

Networks

  • FL HMO D-SNP
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • AL HMO D-SNP
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • FL HMO C-SNP
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • FL HMO
  • AL HMO

Interoperability endpoints

  • FHIR API: https://fhir.yourcareuniverse.net/tenant/a54e9bab-c2b3-4f54-b35a-04b9f0b8cff6

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013078278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3735 SW 8TH ST STE 204",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331343161",
            "telephone_number": "305-445-2550",
            "fax_number": "305-551-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3735 SW 8TH ST STE 204",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331343161",
            "telephone_number": "305-445-2550",
            "fax_number": "305-551-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRABANCO",
        "first_name": "CARLOS",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "49296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.