Individual provider Active NPI

William Torres Carbonell, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Cutler Bay, FL
National Provider Identifier
1154712982
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11009613 Issued in FL
Practice address
10024 SW 222ND St
Cutler Bay, FL 33190-1563
Phone
(239) 692-2776
NPI assigned
Feb 16, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X APRN11009613 FL Primary

Addresses

Primary practice location

10024 SW 222ND St
Cutler Bay, FL 33190-1563

Mailing address

10024 SW 222ND St
Cutler Bay, FL 33190-1563
Phone (239) 692-2776

Other names 1

  • Dr. William Torres Carbonell Professional 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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201118001806 FL Practitioner - Nurse Practitioner 3870904147 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10024 SW 222ND St
Cutler Bay, FL 33190-1563
Phone (239) 692-2776

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11009613FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
WTC Healthcare Services Single Specialty CurrentSince Mar 13, 2022 Accepting new patients
Guidewell Sanitas I, LLC Single Specialty CurrentSince Dec 14, 2020 Accepting new patients
Riseup Health Group LLC Single Specialty CurrentSince Jun 1, 2023 Accepting new patients

Locations

8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GACGDD/Endpoint/GACGDD

Organizations & group practices 3

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": "1424044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1154712982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10024 SW 222ND ST",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331901563",
            "telephone_number": "239-692-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10024 SW 222ND ST",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331901563",
            "telephone_number": "239-692-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES CARBONELL",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-16",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11009613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILLIAM",
            "last_name": "TORRES CARBONELL",
            "prefix": "DR.",
            "credential": "APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cutler Bay, FL

Sources for this page

Verify at the official NPI Registry.