Active NPI
Carmen R Uribe, MD
- Pediatrics Physician
- Miami, FL
National Provider Identifier
1457305880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME0034811
- Practice address
- 15122 SW 72ND St
Miami, FL 33193-3228 - Phone
- (305) 383-3848
- Fax
- (305) 383-7601
- NPI assigned
- May 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME0034811 | FL | Primary |
| Pediatric Adolescent Medicine Physician | 2080A0000X | ME34811 | FL |
Addresses
Primary practice location
15122 SW 72ND St
Miami, FL 33193-3228
Mailing address
6638 SW 112TH CT
Miami, FL 33173-1976
Phone (305) 383-3848
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME0034811 | Other | FL | MEDICAL LICENSE |
| 039010102 | Medicaid | FL | |
| 373907400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0034811 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hammock Medical Center Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Ph.D. Medical Genetics
- Miami, FL
- NPI 1932139755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1457305880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6638 SW 112TH CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331731976",
"telephone_number": "305-383-3848",
"fax_number": "305-383-7601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15122 SW 72ND ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331933228",
"telephone_number": "305-383-3848",
"fax_number": "305-383-7601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URIBE",
"first_name": "CARMEN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-20",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME0034811",
"primary": true
},
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "FL",
"license": "ME34811",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "ME0034811",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "039010102",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "373907400",
"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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.