Individual provider Active NPI

Loretta M Ciraldo, MD

  • Dermatology Physician
  • Aventura, FL
National Provider Identifier
1023051323
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME42094 Issued in FL
Practice address
18851 NE 29TH Ave
Suite 768
Aventura, FL 33180-2808
Phone
(305) 749-3135
Fax
(305) 749-3136
NPI assigned
Jun 14, 2006
Last updated
Sep 1, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME42094 FL Primary

Addresses

Primary practice location

18851 NE 29TH Ave
Suite 768
Aventura, FL 33180-2808

Mailing address

18851 NE 29TH Ave
Suite 768
Aventura, FL 33180-2808
Phone (305) 749-3135

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
I20090715000656 FL Practitioner - Dermatology 4284690280 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Loretta Ciraldo MD PA CurrentSince Jul 1, 2004 Accepting new patients
University of Miami Dermatology Past Accepting new patients
University of Miami Past Accepting new patients

Locations

1080 Kane Concourse
Bay Harbor Islands, FL 33154
Phone (305) 864-6200

21097 NE 27th Ct
Ste 500
Miami, FL 33180
Phone (305) 931-6661

2627 NE 203rd St
Ste 111
Miami, FL 33180
Phone (305) 705-9000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283299200000",
    "number": "1023051323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18851 NE 29TH AVE",
            "address_2": "SUITE 768",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802808",
            "telephone_number": "305-749-3135",
            "fax_number": "305-749-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18851 NE 29TH AVE",
            "address_2": "SUITE 768",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802808",
            "telephone_number": "305-749-3135",
            "fax_number": "305-749-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIRALDO",
        "first_name": "LORETTA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2010-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME42094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.