Active NPI
Carol Da Costa MD
- Pediatrics Physician
- Miami, FL
National Provider Identifier
1215197231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- CAROL DA COSTA MD
- Practice address
- 15671 SW 88TH St
Miami, FL 33196-1103 - Phone
- (305) 752-6465
- Fax
- (305) 752-6467
- NPI assigned
- Jun 12, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Carol Ana Da Costa, MD
- Title
- President
- Phone
- (305) 752-6465
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
15671 SW 88TH St
Miami, FL 33196-1103
Mailing address
15671 SW 88TH St
Miami, FL 33196-1103
Phone (305) 752-6465
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 269721100 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Carol Da Costa MD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatrics Physician
- Miami, FL
- NPI 1730267055
Locations
15671 SW 88th St
Miami, FL 33196
Phone (305) 752-6465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213228800000",
"number": "1215197231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15671 SW 88TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331961103",
"telephone_number": "305-752-6465",
"fax_number": "305-752-6467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15671 SW 88TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331961103",
"telephone_number": "305-752-6465",
"fax_number": "305-752-6467"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROL DA COSTA MD",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-12",
"last_updated": "2008-06-12",
"status": "A",
"authorized_official_last_name": "DA COSTA",
"authorized_official_first_name": "CAROL",
"authorized_official_middle_name": "ANA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-752-6465",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "269721100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.