Organization Active NPI

Enrique G. Casuso,M.D., P.a

  • Psychiatry Physician
  • Miami, FL
National Provider Identifier
1447449426
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME40304 Issued in FL
Legal business name
ENRIQUE G. CASUSO,M.D., P.A
Practice address
3271 NW 7TH St
Suite 204
Miami, FL 33125-4141
Phone
(305) 642-3396
Fax
(305) 642-6622
NPI assigned
Oct 16, 2007
Last updated
Jan 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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

Authorized official

Name
Anabel Or Mabel De la O Or Penate
Title
Secretary
Phone
(305) 642-3396

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME40304 FL Primary

Addresses

Primary practice location

3271 NW 7TH St
Suite 204
Miami, FL 33125-4141

Mailing address

3271 NW 7TH St
Suite 204
Miami, FL 33125-4141
Phone (305) 642-3396

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040607000710 FL Part B Supplier - Clinic/Group Practice 4789666389 Receives reassigned benefits from 4 practitioners

National Provider Directory

National Provider Directory

Locations

182 W 9th St
#I
Hialeah, FL 33010
Phone (305) 887-8095

2256 SW 16th Ave
#8
Miami, FL 33145
Phone (305) 858-1840

3134 SW 26th St
Miami, FL 33133
Phone (305) 445-4520

3271 NW 7th St
Ste 204
Miami, FL 33125
Phone (305) 642-3396

3590 SW 16th St
Miami, FL 33145
Phone (305) 443-1985

400 SW 76th Ct
#2
Miami, FL 33144
Phone (786) 488-1506

701 SW 27th Ave
Ste 1402
Miami, FL 33135
Phone (305) 642-3396

7863 SW 5th St
#A
Miami, FL 33144
Phone (786) 282-9229

550 9th St
Miami Beach, FL 33139
Phone (305) 531-3321

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1447449426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3271 NW 7TH ST",
            "address_2": "SUITE 204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331254141",
            "telephone_number": "305-642-3396",
            "fax_number": "305-642-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3271 NW 7TH ST",
            "address_2": "SUITE 204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331254141",
            "telephone_number": "305-642-3396",
            "fax_number": "305-642-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENRIQUE G. CASUSO,M.D., P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "DE LA O OR PENATE",
        "authorized_official_first_name": "ANABEL OR MABEL",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "305-642-3396"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME40304",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.