Active NPI
Carlos Luis Trabanco, M.D
- Surgery Physician
- Coral Gables, FL
National Provider Identifier
1013078278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 49296
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111019000615 | FL | Practitioner - General Surgery | 1355513243 | Practice locations: Coral Gables, FL |
Care Compare profile
Medicare Care Compare- Specialty
- General 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
- Keralty Hospital
- HCA Florida Kendall Hospital
- Coral Gables Hospital
- Doctors Hospital
- West Gables Rehabilitation Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 41 |
| Removal of tissue | 366 |
| Removal of skin lesions | 39 |
| Removal of nail tissue | 16 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49296 | FL | MD | Surgery 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
- 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.
-
- General Acute Care Hospital
- Coral Gables, FL
- NPI 1952351983
-
- General Acute Care Hospital
- Coral Gables, FL
- NPI 1104653153
-
- General Acute Care Hospital
- Miami, FL
- NPI 1710931522
-
- Rehabilitation Hospital
- Miami, FL
- NPI 1578865861
Inpatient rehabilitation facility
-
- Rehabilitation Hospital
- Miami, FL
- NPI 1427097815
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Miami, FL
- NPI 1548284177
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
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.