Individual provider Active NPI

Carlos J Meza-Valencia

  • Surgical Physician Assistant
  • Miami, FL
National Provider Identifier
1083895536
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
936 SW 1St Ave Ste 838
Miami, FL 33130-4520
Phone
(571) 244-4684
Fax
(888) 356-1032
NPI assigned
Nov 26, 2007
Last updated
Mar 27, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X FL Primary

Addresses

Primary practice location

936 SW 1St Ave Ste 838
Miami, FL 33130-4520

Mailing address

936 SW 1St Ave Ste 838
Miami, FL 33130-4520
Phone (571) 244-4684

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

Practice roles

OrganizationSpecialtyStatusNew patients
National Institute of Surgical Assistants Surgical Past Accepting new patients

Organizations & group practices 2

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": "1196035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1083895536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 SW 1ST AVE STE 838",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331304520",
            "telephone_number": "571-244-4684",
            "fax_number": "888-356-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 SW 1ST AVE STE 838",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331304520",
            "telephone_number": "571-244-4684",
            "fax_number": "888-356-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEZA-VALENCIA",
        "first_name": "CARLOS",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-26",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; 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.