Active NPI
Carmen Evora
- Other Technician
- Hialeah, FL
National Provider Identifier
1013142546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- MA 51140
- Practice address
- 1490 W 49 PL
Suite 210
Hialeah, FL 33012 - Phone
- (305) 823-4008
- NPI assigned
- May 28, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | MA 51140 | FL | Primary |
Addresses
Primary practice location
1490 W 49 PL
Suite 210
Hialeah, FL 33012
Mailing address
1490 W 49TH PL
Suite 210
Hialeah, FL 33012-3148
Phone (305) 823-4008
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA 51140 | FL | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243468800000",
"number": "1013142546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1490 W 49TH PL",
"address_2": "SUITE 210",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330123148",
"telephone_number": "305-823-4008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1490 W 49 PL",
"address_2": "SUITE 210",
"city": "HIALEAH",
"state": "FL",
"postal_code": "33012",
"telephone_number": "305-823-4008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVORA",
"first_name": "CARMEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-28",
"last_updated": "2009-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "FL",
"license": "MA 51140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.