Active NPI
Carlos Miguel Larocca, M.D.
- Family Medicine Physician
- Miami, FL
National Provider Identifier
1265424097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME0053044
- 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, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 048413000 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME0053044 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jorge M Barcenas MD PA | Current | Accepting new patients | |
| Pavel Costa Armas Arnp BC PA | Past | Accepting new patients | |
| Neuro Wellness Centers of America, LLC | Past | Accepting new patients |
Locations
14687 SW 104th St
Miami, FL 33186
Phone (305) 383-3372
Interoperability endpoints
- 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.
-
- Family Medicine Physician
- Miami, FL
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- Internal Medicine Physician
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- NPI 1023291002
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Coral Springs, FL
- NPI 1477051498
-
- Acute Care Nurse Practitioner
- Miami, FL
- NPI 1093980831
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.