Individual provider Active NPI

Carmen Cabezaromero, MD

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1427101534
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
61220 Issued in FL
Practice address
9425 Fontainebleau Blvd
101
Miami, FL 33172-7509
Phone
(305) 940-2239
Fax
(305) 485-2481
NPI assigned
Jan 19, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 61220 FL Primary

Addresses

Primary practice location

9425 Fontainebleau Blvd
101
Miami, FL 33172-7509

Mailing address

9425 Fontainebleau Blvd
101
Miami, FL 33172-7509
Phone (305) 940-2239

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
I20040805001233 FL Practitioner - Internal Medicine 2365413895 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61220FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carlos F Vallejo MD PA Internal Medicine CurrentSince Sep 30, 2020 Accepting new patients
Partners of Internal Medicine PA Internal Medicine PastSince Sep 1, 2007 Accepting new patients

Locations

5803 NW 151st St
Ste 101
Miami Lakes, FL 33014
Phone (305) 696-8802

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427101534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9425 FONTAINEBLEAU BLVD",
            "address_2": "101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331727509",
            "telephone_number": "305-940-2239",
            "fax_number": "305-485-2481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9425 FONTAINEBLEAU BLVD",
            "address_2": "101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331727509",
            "telephone_number": "305-940-2239",
            "fax_number": "305-485-2481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABEZAROMERO",
        "first_name": "CARMEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "61220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.