Individual provider Active NPI

Carlos J Haro, DO, DAAPM

  • Family Medicine Physician
  • Pembroke Pnes, FL
National Provider Identifier
1316955388
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS9560 Issued in FL
Practice address
10794 Pines Blvd Ste 202
Pembroke Pnes, FL 33026-3920
Phone
(954) 589-5958
Fax
(954) 589-5785
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS9560 FL Primary

Addresses

Primary practice location

10794 Pines Blvd Ste 202
Pembroke Pnes, FL 33026-3920

Mailing address

10794 Pines Blvd Ste 202
Pembroke Pnes, FL 33026-3920
Phone (954) 589-5958

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070305000508 FL Practitioner - Family Practice 8224131628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Nova Southeastern College of Osteo Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10794 Pines Blvd
Suite 202
Pembroke Pines, FL 33026-3920
Phone (954) 589-5958

Hospital & facility affiliations

  • Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Silverland Medical Center LLC CurrentSince Jun 12, 2012 Accepting new patients
Medica One Health LLC CurrentSince Sep 20, 2023 Accepting new patients
Costa Health Center LLC Past Accepting new patients

Locations

704 SW 68th Ave
Miami, FL 33144
Phone (305) 825-1997

10794 Pines Blvd
Ste 202
Pembroke Pines, FL 33026
Phone (954) 589-5958

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1316955388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10794 PINES BLVD STE 202",
            "city": "PEMBROKE PNES",
            "state": "FL",
            "postal_code": "330263920",
            "telephone_number": "954-589-5958",
            "fax_number": "954-589-5785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10794 PINES BLVD STE 202",
            "city": "PEMBROKE PNES",
            "state": "FL",
            "postal_code": "330263920",
            "telephone_number": "954-589-5958",
            "fax_number": "954-589-5785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARO",
        "first_name": "CARLOS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DO, DAAPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS9560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pnes, FL

Sources for this page

Verify at the official NPI Registry.