Michael E Carlos MD LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

MICHAEL E CARLOS MD LLC

Doing business as

Carlos Cardiovascular Services

Practice address

14201 Laurel Park Dr
Suite 223
Laurel, MD 20707-5203

Phone

(301) 604-0110

Fax

(301) 604-0096

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Michael E Carlos, MD

Title

Owner

Phone

(301) 604-0110

Specialties & licenses 1

Addresses

Other names 1

• Carlos Cardiovascular Services Doing business as

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285027200000",
    "number": "1194879080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14201 LAUREL PARK DR",
            "address_2": "SUITE 223",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075203",
            "telephone_number": "301-604-0110",
            "fax_number": "301-604-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14201 LAUREL PARK DR",
            "address_2": "SUITE 223",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075203",
            "telephone_number": "301-604-0110",
            "fax_number": "301-604-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL E CARLOS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2010-09-21",
        "status": "A",
        "authorized_official_last_name": "CARLOS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-604-0110",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carlos Cardiovascular Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.