Individual provider Active NPI

Carmen L Delcueto, MD

  • Legal Medicine
  • Miami, FL
National Provider Identifier
1275521924
Registry record updated Jun 13, 2008
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Oct 20, 2011.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
ME28417 Issued in FL
Practice address
2629 SW 147TH Ave
Miami, FL 33185-5622
Phone
(305) 487-6196
Fax
(305) 487-6198
NPI assigned
Oct 7, 2005
Last updated
Jun 13, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X ME28417 FL Primary

Addresses

Primary practice location

2629 SW 147TH Ave
Miami, FL 33185-5622

Mailing address

2629 SW 147TH Ave
Miami, FL 33185-5622
Phone (305) 487-6196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME28417FLMDLegal Medicine

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213315200000",
    "number": "1275521924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 SW 147TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855622",
            "telephone_number": "305-487-6196",
            "fax_number": "305-487-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2629 SW 147TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855622",
            "telephone_number": "305-487-6196",
            "fax_number": "305-487-6198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELCUETO",
        "first_name": "CARMEN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-07",
        "last_updated": "2008-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "FL",
            "license": "ME28417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.