Organization Active NPI

Carol Da Costa MD

  • Pediatrics Physician
  • Miami, FL
National Provider Identifier
1215197231
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
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

Updated by the provider on Jun 12, 2008

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
269721100MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Carol Da Costa MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

Verify at the official NPI Registry.