Carlos E. Spera, MD, PA

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

1196 Issued in FL

Legal business name

CARLOS E. SPERA, MD, PA

Practice address

12575 Orange Drive #303
Davie, FL 33330

Phone

(954) 577-8585

Fax

(954) 577-8556

NPI assigned

Feb 2, 2010

Organization subpart

No

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

Authorized official

Name

Rachel Mitchell, CPCHI

Title

Director

Phone

(919) 477-5152

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carlos E Spera, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Davie, FL
  • NPI 1033270251
  NPD
• Michael John Rodriguez, M.D.

  • Otolaryngology Physician
  • Miami, FL
  • NPI 1235302159
  NPD (past)

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267488000000",
    "number": "1376875344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15385",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277040385",
            "telephone_number": "919-477-5152",
            "fax_number": "919-477-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12575 ORANGE DRIVE #303",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "33330",
            "telephone_number": "954-577-8585",
            "fax_number": "954-577-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS E. SPERA, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-03-02",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-477-5152",
        "authorized_official_credential": "CPCHI"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "1196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1196",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATE NUMBER",
            "identifier": "2964",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carebridge Associates II LLC
• Erin Carey, APRN
• Rosa Carias
• Caring Village of Davie LLC
• Keila Carles
• Carlos H Nousari PA
• Carlos Spera MD PA
• Jodi Carlson, RPH
• Leiphka Carmil, DPT, PT
• Mayulis Carmona-Dominguez

• Ambulatory Surgical Clinic/Center in Davie, FL
• Providers in Davie, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; 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.