Carlos Teofilo Granados, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME67716 Issued in FL

Practice address

4716 West Flagler St.
Miami, FL 33134-1452

Phone

(305) 774-6550

Fax

(305) 774-0499

NPI assigned

Jun 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Juan Miguel Fernandez MD PA

  • Clinic/Center
  • Miami, FL
  • NPI 1528232436
  NPD (past)
• Medical General Assistant Inc

  • Family Medicine Physician
  • Medley, FL
  • NPI 1942254495
  NPD (past)
• Megatesting Inc

  • Clinic/Center
  • Miami, FL
  • NPI 1891824348
  NPD (past)
• Millennium Medical Center Corp

  • Family Medicine Physician
  • Hialeah, FL
  • NPI 1003854787
  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308182400000",
    "number": "1467493585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4716 WEST FLAGLER ST.",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331341452",
            "telephone_number": "305-774-6550",
            "fax_number": "305-774-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4716 WEST FLAGLER ST.",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331341452",
            "telephone_number": "305-774-6550",
            "fax_number": "305-774-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANADOS",
        "first_name": "CARLOS",
        "middle_name": "TEOFILO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2011-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME67716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377311601",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Granado
• Hebert Cabrera Granado
• Omar Granado
• Paola Granados-Radlick, PSY.D.
• Andrea Granados, MD
• Guillermo Alfredo Granados, PA-C
• Kenia Granados
• Stacey Amelia Granados
• Vanessa Maria Granados
• Grand 7TH Pharmacy by Kwik Stop LLC (Adv Pharmacy)

• Family Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.