Individual provider Active NPI

Ernesto Cardozo, MD

  • General Practice Physician
  • Pembroke Pines, FL
National Provider Identifier
1033280565
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME90704 Issued in FL
Practice address
10081 Pines Blvd Ste E
Pines & Palm Office Park
Pembroke Pines, FL 33024-6171
Phone
(954) 499-8545
Fax
(954) 499-8547
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME90704 FL Primary

Addresses

Primary practice location

10081 Pines Blvd Ste E
Pines & Palm Office Park
Pembroke Pines, FL 33024-6171

Mailing address

10081 Pines Blvd Ste E
Pines & Palm Office Park
Pembroke Pines, FL 33024-6171
Phone (954) 499-8545

Other identifiers 1

IdentifierTypeStateIssuer
ME90704OtherFLMED LICENSE

Other names 1

  • Dr. Ernesto Cardozo Other name

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pharmacy Familia LLC CurrentSince Nov 10, 2020 Accepting new patients
Hillsboro Pain & Rehab Center Past Accepting new patients
Penalba Rehabilitation Medicine P a Past Accepting new patients
Silverman Chiropractic & Rehabilitation Center Inc Past Accepting new patients

Locations

1644 W Hillsboro Blvd
Deerfield Beach, FL 33442
Phone (561) 531-0713

450 W Hillsboro Blvd
Deerfield Beach, FL 33441
Phone (954) 429-9047

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1033280565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10081 PINES BLVD STE E",
            "address_2": "PINES & PALM OFFICE PARK",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246171",
            "telephone_number": "954-499-8545",
            "fax_number": "954-499-8547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10081 PINES BLVD STE E",
            "address_2": "PINES & PALM OFFICE PARK",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246171",
            "telephone_number": "954-499-8545",
            "fax_number": "954-499-8547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDOZO",
        "first_name": "ERNESTO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME90704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED LICENSE",
            "identifier": "ME90704",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERNESTO",
            "last_name": "CARDOZO",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.