Active NPI
Carlos Verdeza
- Physician Assistant
- Miami, FL
National Provider Identifier
1457627481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9100864
- Practice address
- 13780 SW 26TH St
205
Miami, FL 33175-6302 - Phone
- (786) 332-2172
- Fax
- (786) 332-4694
- NPI assigned
- Mar 23, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9100864 | FL | Primary |
Addresses
Primary practice location
13780 SW 26TH St
205
Miami, FL 33175-6302
Mailing address
13780 SW 26TH St
205
Miami, FL 33175-6302
Phone (786) 332-2172
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
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Verdeza Medical | 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.
-
- Medical Physician Assistant
- Miami, FL
- NPI 1245586221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332460800000",
"number": "1457627481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13780 SW 26TH ST",
"address_2": "205",
"city": "MIAMI",
"state": "FL",
"postal_code": "331756302",
"telephone_number": "786-332-2172",
"fax_number": "786-332-4694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13780 SW 26TH ST",
"address_2": "205",
"city": "MIAMI",
"state": "FL",
"postal_code": "331756302",
"telephone_number": "786-332-2172",
"fax_number": "786-332-4694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERDEZA",
"first_name": "CARLOS",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-23",
"last_updated": "2012-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9100864",
"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 Mar 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.