Organization Active NPI

Carlos M Verdeza MD PA

  • Specialist
  • Miami, FL
National Provider Identifier
1386861052
Registry record updated Sep 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME97208 Issued in FL
Legal business name
CARLOS M VERDEZA MD PA
Practice address
13780 SW 26TH St
Suite 203
Miami, FL 33175-6302
Phone
(305) 553-8033
Fax
(305) 553-8013
NPI assigned
Apr 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2008

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

Authorized official

Name
Mr. Carlos Mario Verdeza, M.D
Title
President
Phone
(305) 553-8033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X ME97208 FL Primary

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

IdentifierTypeStateIssuer
ME 97208OtherFLUNRESTRICTED MEDICAL LICE

National Provider Directory

National Provider Directory

Locations

2475 NW 95th Ave
Unit 2
Doral, FL 33172
Phone (786) 453-2785

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221782400000",
    "number": "1386861052",
    "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": {
        "organization_name": "CARLOS M VERDEZA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2008-09-19",
        "status": "A",
        "authorized_official_last_name": "VERDEZA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "MARIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-553-8033",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME97208",
            "primary": true
        }
    ],
    "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.

Verify at the official NPI Registry.