Carmen G Fajardo, BS

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

1601 NW 12TH Ave
University of Miami Early Steps Program
Miami, FL 33136-1005

Phone

(305) 243-6660

Fax

(305) 243-3501

NPI assigned

Feb 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548979200000",
    "number": "1285775809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 NW 12TH AVE",
            "address_2": "UNIVERSITY OF MIAMI EARLY STEPS PROGRAM",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "305-243-6660",
            "fax_number": "305-243-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 NW 12TH AVE",
            "address_2": "UNIVERSITY OF MIAMI EARLY STEPS PROGRAM",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "305-243-6660",
            "fax_number": "305-243-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAJARDO",
        "first_name": "CARMEN",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2019-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "754590800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Fajardo Puerto
• Nara Fajardo Salazar
• Fajardo Wellness Center LLC
• Adriana L Fajardo, RN BSN
• Anabel Fajardo
• Diana M Fajardo
• Edgar Fajardo, LMT
• Marianela Fajardo, LCSW
• Martha Patricia Fajardo I
• Marytery Fajardo, M.D.

• Social Worker in Miami, FL
• Providers in Miami, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.