Active NPI
Carlos Mario Verdeza, M.D
- Obstetrics & Gynecology Physician
- Miami, FL
National Provider Identifier
1376625681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME 97208
- Practice address
- 13780 SW 26TH St
Suite 203
Miami, FL 33175-6302 - Phone
- (305) 553-8033
- Fax
- (305) 553-8013
- NPI assigned
- Oct 19, 2006
- Last updated
- Sep 19, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME 97208 | FL | Primary |
| General Practice Physician | 208D00000X | ME97208 | FL |
Addresses
Primary practice location
13780 SW 26TH St
Suite 203
Miami, FL 33175-6302
Mailing address
13780 SW 26TH St
Suite 203
Miami, FL 33175-6302
Phone (305) 553-8033
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME 97208 | Other | FL | UNRESTRICTED MEDICAL LICE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 97208 | FL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| G-Nouva LLC | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
2475 NW 95th Ave
Unit 2
Doral, FL 33172
Phone (786) 453-2785
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Physician
- Doral, FL
- NPI 1316426877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221782400000",
"number": "1376625681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13780 SW 26TH ST",
"address_2": "SUITE 203",
"city": "MIAMI",
"state": "FL",
"postal_code": "331756302",
"telephone_number": "305-553-8033",
"fax_number": "305-553-8013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13780 SW 26TH ST",
"address_2": "SUITE 203",
"city": "MIAMI",
"state": "FL",
"postal_code": "331756302",
"telephone_number": "305-553-8033",
"fax_number": "305-553-8013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERDEZA",
"first_name": "CARLOS",
"middle_name": "MARIO",
"name_prefix": "Mr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2008-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME 97208",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME97208",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNRESTRICTED MEDICAL LICE",
"identifier": "ME 97208",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.