Carlos Alberto Pedrera, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA29814 Issued in FL

Practice address

5021 W 6TH Ave
Hialeah, FL 33012-3833

Phone

(305) 558-1203

Fax

(305) 558-1213

NPI assigned

Nov 1, 2019

Last updated

Nov 1, 2019By the provider in NPPES

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1326682303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 W 2ND CT APT 113",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330126701",
            "telephone_number": "786-991-5779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5021 W 6TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123833",
            "telephone_number": "305-558-1203",
            "fax_number": "305-558-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDRERA",
        "first_name": "CARLOS",
        "middle_name": "ALBERTO",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-01",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA29814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mildrey Pedraza Bacallao
• Jessica Pedraza
• Linda Carolina Pedraza, APRN
• Jessica Pedre-Lopez, LMHC
• Flor Pedrera Perez
• Melanie Pedrero
• Pedro Caceres Medical Inc
• Pedro F. Bermann, M.D., P.a.
• Pedro G. Alvarez, D.O., P.a.
• Pedro L Carrillo MD PA

• Physical Therapy Assistant in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Physical Therapy Assistant in Florida

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