Ivan Gonzalo Carrasquilla, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME69480 Issued in FL

Practice address

370 Minorca Ave
2ND Floor
Coral Gables, FL 33134-4330

Phone

(305) 443-3001

Fax

(786) 235-8575

NPI assigned

May 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Family Practice

Education

University of Miami, LM Miller School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Rehabclinics Pta IncGroup PAC ID 0547237497, shared by 11 NPIs, 209 clinicians

Primehealth Physicians LLCGroup PAC ID 0042456907, 34 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• South Miami Hospital Hospital, Miami, FL, CCN 100154

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Primehealth Physicians LLC

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1871838193
  Medicare reassignment Care Compare group
• Value Healthcare Partners

  • Preferred Provider Organization
  • Miami, FL
  • NPI 1316763394
  Medicare reassignment NPD
• Primecare of Coral Gables,PA

  • Family Medicine Physician
  • Coral Gables, FL
  • NPI 1013004431
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• South Miami Hospital Inc

  • General Acute Care Hospital
  • South Miami, FL
  • NPI 1982688230
  Care Compare affiliation

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1154373694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 MINORCA AVE FL 2",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344321",
            "telephone_number": "305-443-3001",
            "fax_number": "786-235-8575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 MINORCA AVE",
            "address_2": "2ND FLOOR",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344330",
            "telephone_number": "305-443-3001",
            "fax_number": "786-235-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRASQUILLA",
        "first_name": "IVAN",
        "middle_name": "GONZALO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME69480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ivan.carrasquilla@phpllc.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "370 Minorca Ave",
            "address_2": "2nd Floor",
            "city": "Coral Gables",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331344330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Xabriel Carpio
• Carpus Medical Center Corp
• Paulina Carracedo, APRN
• Rosa Maria Carranza I
• Gemma Carrascosa Salcedo
• Alicia Maria Carrazana, DMD
• Gabriela Mariana Carrero
• Maryellen Carrigan
• Loraine Carrillo Hernandez
• Suzanne Carroll Woodard, PH.D.

• Family Medicine Physician in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.