Individual provider Active NPI

Carolina Vera Weiss, D.O.

  • Emergency Medicine Physician
  • Davie, FL
National Provider Identifier
1477798775
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS10528 Issued in FL
Practice address
15102 SW 38TH St
Davie, FL 33331-2755
Phone
(954) 401-5586
NPI assigned
Dec 16, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS10528 FL Primary

Addresses

Primary practice location

15102 SW 38TH St
Davie, FL 33331-2755

Mailing address

15102 SW 38TH St
Davie, FL 33331-2755
Phone (954) 401-5586

Other names 1

  • Carolina Vera Other name

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
I20090708000786 FL Practitioner - Emergency Medicine 3577615301 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Oct 15, 2013 Accepting new patients
Sterling Emergency Services of Miami Beach PA Emergency Medicine Current Accepting new patients
Sterling Emergency Services of Miami Beach PA Emergency Medicine CurrentSince Apr 1, 2012 Accepting new patients

Locations

651 E 25th St
Hialeah, FL 33013
Phone (305) 835-4370

2845 NE 199th St
Miami, FL 33180
Phone (305) 692-1000

4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776

Organizations & group practices 3

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": "1229385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1477798775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15102 SW 38TH ST",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333312755",
            "telephone_number": "954-401-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15102 SW 38TH ST",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333312755",
            "telephone_number": "954-401-5586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERA WEISS",
        "first_name": "CAROLINA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-16",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS10528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINA",
            "last_name": "VERA",
            "credential": "D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.