Karina Fajardo, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME119763 Issued in FL

Practice address

6705 S Red Rd Ste 610
South Miami, FL 33143-3649

Phone

(786) 542-8990

NPI assigned

Apr 5, 2010

Last updated

Mar 9, 2016By the provider in NPPES

Sex

Female

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

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.

Opted out of Medicare

Yes, effective Jul 24, 2023 through Jul 24, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Golden Psychiatric Center, Inc.

  • Psychiatry Physician
  • Coral Gables, FL
  • NPI 1831646728
  NPD (past)

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1265757074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6705 S RED RD STE 610",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433649",
            "telephone_number": "786-542-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6705 S RED RD STE 610",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433649",
            "telephone_number": "786-542-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAJARDO",
        "first_name": "KARINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-05",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME119763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eye Care Optical Center, Inc.
• Kenneth Ezeribe, MD
• Deborah Ezeta
• Nneka Chigozie Ezeudemba, MD
• Robert Faine, D.D.S.
• Natasha Ailime Fajardo, MD
• Elena N/a Fallucca, M.D.
• Family Life Design, Inc.
• Leyania Fandino, APRN
• Jorge Farah,, MD

• Psychiatry Physician in South Miami, FL
• Providers in South Miami, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.