Individual provider Active NPI

Rita Maria Carralero, M.D.

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1427190289
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME72405 Issued in FL
Practice address
8756 SW 72ND St
Miami, FL 33173-3512
Phone
(786) 598-7004
Fax
(786) 598-7005
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME72405 FL Primary

Addresses

Primary practice location

8756 SW 72ND St
Miami, FL 33173-3512

Mailing address

8756 SW 72ND St
Miami, FL 33173-3512
Phone (786) 598-7004

Other identifiers 1

IdentifierTypeStateIssuer
113592400MedicaidFL

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
I20130925000789 FL Practitioner - Family Practice 4880831619 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME72405FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Medical Group of Opa-Locka, LLC. Family Medicine CurrentSince Apr 30, 2003 Accepting new patients
Integrum Medical Group, LLC CurrentSince May 15, 2019 Accepting new patients

Locations

8756 SW 72nd St
Miami, FL 33173
Phone (786) 384-1150

6100 Blue Lagoon Dr
Ste 365
Miami, FL 33126
Phone (786) 322-7333

321 Opa Locka Blvd
Opa Locka, FL 33054
Phone (786) 476-3333

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1427190289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8756 SW 72ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733512",
            "telephone_number": "786-598-7004",
            "fax_number": "786-598-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8756 SW 72ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733512",
            "telephone_number": "786-598-7004",
            "fax_number": "786-598-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRALERO",
        "first_name": "RITA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME72405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113592400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.