Efrain Rosario-Carlo, MD
Individual provider Active NPI Family Medicine Physician · Alachua, FL
NPI 1124012927 · NPPES record last updated Jan 13, 2016
Key facts
- NPI
- 1124012927
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- ME0070112 (FL)
- Practice address
- 15260 NW 147 Drive
Alachua, FL 32615 - Phone
- (386) 418-1222
- Fax
- (386) 418-0622
- NPI assigned
- Sep 7, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Puerto Rico School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- James McCauley MD PA
Practice addresses (Care Compare)
128 NW 137TH Dr
Newberry, FL 32669-2667
Phone (352) 332-1890
15260 NW 147 Dr
Alachua, FL 32615-5309
6500 Newberry Rd
North FL Regional Medical Center
Gainesville, FL 32614-7006
Phone (352) 333-4000
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040901000936 | FL | Practitioner - Family Practice | 0143295121 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0070112 | FL | MD | Family Medicine Physician |
| ME63062 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 1St Choice Primary Care LLC | Family Medicine | Current |
Accepting new patients |
| 1St Choice Urgent Care Center LLC | Current |
Accepting new patients | |
| 1St Choice Urgent Care Center LLC | Current |
Accepting new patients | |
| James McCauley MD PA | Current |
Accepting new patients | |
| Bethesda/Solantic Joint Venture, LLC | Past |
Accepting new patients | |
| Emergency Medical Center, Inc | Past | Accepting new patients |
Locations
15260 NW 147th Dr
Ste 100
Alachua, FL 32615
Phone (386) 418-1222
15260 NW 147th Dr
Alachua, FL 32615
Phone (386) 418-1222
6500 W Newberry Rd
Gainesville, FL 32605
Phone (352) 333-4180
128 NW 137th Dr
Newberry, FL 32669
Phone (352) 258-4452
128 NW 137th Dr
Ste B
Newberry, FL 32669
Phone (352) 332-1890
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME0070112 | FL | Yes |
Addresses
Primary practice location
15260 NW 147 Drive
Alachua, FL 32615
Mailing address
15260 NW 147 Drive
Alachua, FL 32615
Phone (386) 418-1222
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 250362000 | Medicaid | FL |
Other providers in Alachua, FL
- Teresa Elaine Roane
- Robert S. Glazer, PH.D., P.a.
- Edward Roehrs
- Luis Manuel Roldan-Aponte
- Baylee Rolling
- James Rummel
- Rural Urgent Care LLC
- Christine E Ryan
- Yolimar Santiago
- Herbert Tenedero Santos
All providers in Alachua, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.