Individual provider Active NPI

Roberto Carpio, M.D.

  • Pediatrics Physician
  • Miami, FL
National Provider Identifier
1083879696
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME102273 Issued in FL
Practice address
3100 SW 62ND Ave
Miami, FL 33155
Phone
(305) 666-6511
NPI assigned
Jul 23, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME102273 FL Primary

Addresses

Primary practice location

3100 SW 62ND Ave
Miami, FL 33155

Mailing address

3100 SW 62ND Ave
Miami, FL 33155-3009
Phone (305) 666-6511

Other practice location 1

13707 SW 152nd St
Miami, FL 33177-1106
Phone (305) 585-9200

Other names 1

  • Dr. Roberto Carpio Fonseca Other name

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
I20090114000659 FL Practitioner - Pediatric Medicine 2062575269 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME102273FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Physicians of Palmetto Bay LLC CurrentSince Oct 1, 2008 Accepting new patients
Urgent Care Physicians of Country Walk LLC CurrentSince Nov 1, 2008 Accepting new patients
Urgent Care Physicians of Westchester LLC CurrentSince Oct 1, 2008 Accepting new patients
Criticare Clinics Inc CurrentSince Aug 1, 2021 Accepting new patients
Urgent Care Physicians of Tamiami LLC CurrentSince Oct 1, 2008 Accepting new patients
Urgent Care Physicians of West Kendall LLC CurrentSince Apr 26, 2017 Accepting new patients

Locations

6264 W Sample Rd
Coral Springs, FL 33067
Phone (954) 837-1010

4741 S University Dr
Davie, FL 33328
Phone (954) 837-1050

14660 SW 8th St
#100
Miami, FL 33184
Phone (786) 596-4100

13500 SW 152nd St
Miami, FL 33177
Phone (786) 596-4300

9130 S Dadeland Blvd
Ste 1202
Miami, FL 33156
Phone (330) 317-1594

8840 SW 40th St
Ste 100
Miami, FL 33165
Phone (786) 596-3890

13001 SW 88th St
Miami, FL 33186
Phone (786) 596-3800

14701 NW 77th Ave
Miami Lakes, FL 33014
Phone (305) 669-2833

8750 SW 144th St
Palmetto Bay, FL 33176
Phone (786) 596-3840

15885 Pines Blvd
Pembroke Pines, FL 33027
Phone (954) 837-1300

Organizations & group practices 6

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": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1083879696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SW 62ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553009",
            "telephone_number": "305-666-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 SW 62ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33155",
            "telephone_number": "305-666-6511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13707 SW 152nd St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331771106",
            "country_code": "US",
            "telephone_number": "305-585-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARPIO",
        "first_name": "ROBERTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-23",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME102273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERTO",
            "last_name": "CARPIO FONSECA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.