Active NPI
Manuel Antonio Santos Carrasquillo, M.D.
- Nephrology Physician
- Weston, FL
National Provider Identifier
1295267425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- ME175851
- Practice address
- 2950 Cleveland Clinic Blvd
Weston, FL 33331-3625 - Phone
- (754) 228-2734
- NPI assigned
- Mar 28, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 21604 | PR | |
| Nephrology Physician | 207RN0300X | ME175851 | FL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | ME175851 | FL |
Addresses
Primary practice location
2950 Cleveland Clinic Blvd
Weston, FL 33331-3625
Mailing address
PO Box 9261
Caguas, PR 00726-9261
Other practice location 1
214 Calle Guayacan
Sabanera del Rio
Gurabo, P.R., PR 00778
Phone (787) 605-7052
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
- Nephrology
- Education
- University Central del Caribe Escuela de Medicina, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2001 NE 48TH CT
Fort Lauderdale, FL 33308-4512
Phone (954) 771-3929
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21604 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidney Group of South Florida PA | Current | Accepting new patients | |
| Kidney and Hypertension Group of Florida LLC | Nephrology | Current | Accepting new patients |
Locations
2605 W Atlantic Ave
Ste C101
Delray Beach, FL 33445
Phone (561) 403-5201
2001 NE 48th Ct
Ste 4
Ft Lauderdale, FL 33308
Phone (954) 771-3929
14134 Nephron Ln
Hudson, FL 34667
Phone (727) 863-5418
300 NW 70th Ave
Ste 302
Plantation, FL 33317
Phone (954) 673-1525
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Fort Lauderdale, FL
- NPI 1730187493
-
- Nephrology Physician
- Fort Lauderdale, FL
- NPI 1629888334
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Holy Cross Medical Group
- Internal Medicine Physician
- Fort Lauderdale, FL
- NPI 1467401877
Hospital
-
dba Holy Cross Hospital
- General Acute Care Hospital
- Fort Lauderdale, FL
- NPI 1639197395
-
dba Broward Health Imperial Point
- General Acute Care Hospital
- Fort Lauderdale, FL
- NPI 1265460232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765324800000",
"number": "1295267425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9261",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007269261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2950 CLEVELAND CLINIC BLVD",
"city": "WESTON",
"state": "FL",
"postal_code": "333313625",
"telephone_number": "754-228-2734"
}
],
"practiceLocations": [
{
"address_1": "214 Calle Guayacan",
"address_2": "Sabanera del Rio",
"address_purpose": "LOCATION",
"city": "Gurabo, P.R.",
"state": "PR",
"postal_code": "00778",
"country_code": "US",
"telephone_number": "787-605-7052",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANTOS CARRASQUILLO",
"first_name": "MANUEL",
"middle_name": "ANTONIO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-28",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "21604",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "FL",
"license": "ME175851",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME175851",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.