Individual provider Active NPI

Carlos Miguel Larocca, M.D.

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1265424097
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0053044 Issued in FL
Practice address
11130 N Kendall Dr
Suite 200
Miami, FL 33176-0939
Phone
(305) 271-4001
Fax
(305) 270-0108
NPI assigned
Aug 18, 2005
Last updated
Mar 16, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME0053044 FL Primary

Addresses

Primary practice location

11130 N Kendall Dr
Suite 200
Miami, FL 33176-0939

Mailing address

11130 N Kendall Dr
Suite 200
Miami, FL 33176-0939
Phone (305) 271-4001

Other identifiers 1

IdentifierTypeStateIssuer
048413000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100204000281 FL Practitioner - Family PracticePractitioner - Addiction Medicine 3173666757 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Addiction Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11130 SW 88TH St
Suite 200
Miami, FL 33176-0939
Phone (305) 271-4001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0053044FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jorge M Barcenas MD PA CurrentSince Mar 7, 2018 Accepting new patients
Pavel Costa Armas Arnp BC PA PastSince Jun 22, 2011 Accepting new patients
Neuro Wellness Centers of America, LLC PastSince Nov 14, 2018 Accepting new patients

Locations

14687 SW 104th St
Miami, FL 33186
Phone (305) 383-3372

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGFECD/Endpoint/IGFECD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426464000000",
    "number": "1265424097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11130 N KENDALL DR",
            "address_2": "SUITE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331760939",
            "telephone_number": "305-271-4001",
            "fax_number": "305-270-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11130 N KENDALL DR",
            "address_2": "SUITE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331760939",
            "telephone_number": "305-271-4001",
            "fax_number": "305-270-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAROCCA",
        "first_name": "CARLOS",
        "middle_name": "MIGUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2015-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0053044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048413000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.