Organization Active NPI

Garnet and Carbonell DPM LLC

  • Foot & Ankle Surgery Podiatrist
  • South Miami, FL
National Provider Identifier
1164454732
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
GARNET AND CARBONELL DPM LLC
Practice address
6705 SW 57TH Ave Ste 312
South Miami, FL 33143-3638
Phone
(305) 251-2552
Fax
(305) 252-7768
NPI assigned
Jul 6, 2006
Last updated
Jun 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Authorized official

Name
Laureen Rubio
Title
Business Manager
Phone
(305) 670-8411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

6705 SW 57TH Ave Ste 312
South Miami, FL 33143-3638

Mailing address

6705 SW 57TH Ave Ste 312
South Miami, FL 33143-3638
Phone (305) 251-2552

Other practice location 1

925 NE 30th Ter Ste 106
Homestead, FL 33033-7614
Phone (786) 446-0440

Other practice location 2

9012 SW 152nd St
Palmetto Bay, FL 33157-1928
Phone (305) 251-2552

Other identifiers 4

IdentifierTypeStateIssuer
62308OtherFLCIGNA
300737100OtherFLUS DEPT OF LABOR
99898OtherFLBCBS OF FL
DE7422OtherFLRAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL n/a Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080214000548 FL Part B Supplier - Clinic/Group Practice 8325144454 Receives reassigned benefits from 5 practitioners
Practice locations: Key Largo, FL; Homestead, FL; South Miami, FL; Palmetto Bay, FL; Miami, FL

National Provider Directory

National Provider Directory
Tax ID family
Garnet and Carbonell DPM LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9165 SW 87th Ave
Miami, FL 33176
Phone (305) 233-0011

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1164454732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6705 SW 57TH AVE STE 312",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433638",
            "telephone_number": "305-251-2552",
            "fax_number": "305-252-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6705 SW 57TH AVE STE 312",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433638",
            "telephone_number": "305-251-2552",
            "fax_number": "305-252-7768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "925 NE 30th Ter Ste 106",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330337614",
            "country_code": "US",
            "telephone_number": "786-446-0440",
            "fax_number": "786-446-0444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9012 SW 152nd St",
            "address_purpose": "LOCATION",
            "city": "Palmetto Bay",
            "state": "FL",
            "postal_code": "331571928",
            "country_code": "US",
            "telephone_number": "305-251-2552",
            "fax_number": "305-252-7768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GARNET AND CARBONELL DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "RUBIO",
        "authorized_official_first_name": "LAUREEN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "305-670-8411"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "62308",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "300737100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "99898",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE7422",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "endpointDescription": "n/a",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "n/a",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "n/a",
            "address_1": "6705 SW 57th Ave Ste 312",
            "city": "South Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331433638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.