Carlos Julio Izquierdo, LDO

Primary specialty

OpticianTaxonomy code 156FX1800X

License

DO6397 Issued in FL

Practice address

3824 SW 8TH St
Coral Gables, FL 33134-3002

Phone

(305) 961-1060

NPI assigned

Aug 21, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1245663640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 SW 38TH AVE",
            "address_2": "1302",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331461531",
            "telephone_number": "786-554-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3824 SW 8TH ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331343002",
            "telephone_number": "305-961-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZQUIERDO",
        "first_name": "CARLOS",
        "middle_name": "JULIO",
        "credential": "LDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-21",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO6397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Patrick U Iyahen Jr., M.D.
• Ayme Izquierdo Suarez, RBT
• Dayalin Izquierdo, BCBA
• Maria Milagros Izquierdo, BEHAVIOR TECHNICIAN
• Melissa Kristina Izquierdo, MS CCC SLP
• Meyleen Izquierdo, D.M.D
• J a Miguelez

• Optician in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Optician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.