Individual provider Active NPI

Pedro R Caro, MD

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1487618096
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME66447 Issued in FL
Practice address
5850 W Flagler St
Miami, FL 33144-3363
Phone
(305) 263-9590
Fax
(305) 263-9657
NPI assigned
Apr 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0066447 FL
Internal Medicine Physician 207R00000X ME66447 FL
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X ME66447 FL Primary

Addresses

Primary practice location

5850 W Flagler St
Miami, FL 33144-3363

Mailing address

5850 W Flagler St
Miami, FL 33144-3363
Phone (305) 263-9590

Other identifiers 3

IdentifierTypeStateIssuer
25378OtherFLBLUE CROSS BLUE SHIELD #
375518500MedicaidFL
ME0066447OtherFLMEDICAL LICENSE NUMBER

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
I20050830000294 FL Practitioner - General PracticePractitioner - Family Practice 3779514815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Family Practice
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centers of Medical Excellence LLCGroup PAC ID 9739588666, 8 clinicians

Practice addresses (Care Compare)

1176 SW 67TH Ave
Miami, FL 33144-4700
Phone (305) 874-3909

7925 NW 12TH St
Suite 201
Doral, FL 33126-1821

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0066447FLMDSpecialist
ME66447FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centers of Medical Excellence, LLC Single Specialty CurrentSince Jun 1, 2021 Accepting new patients

Locations

7925 NW 12th St
Ste 201
Doral, FL 33126

1738 W 49th St
Ste 10
Hialeah, FL 33012
Phone (305) 698-8432

1501 NW 36th St
Miami, FL 33142
Phone (786) 260-8151

1176 SW 67th Ave
Miami, FL 33144
Phone (305) 359-9838

5850 W Flagler St
Miami, FL 33144
Phone (305) 263-9590

15529 Bull Run Rd
Miami Lakes, FL 33014
Phone (305) 328-8922

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.

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1487618096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331443363",
            "telephone_number": "305-263-9590",
            "fax_number": "305-263-9657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331443363",
            "telephone_number": "305-263-9590",
            "fax_number": "305-263-9657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARO",
        "first_name": "PEDRO",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0066447",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME66447",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME66447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD #",
            "identifier": "25378",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375518500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "ME0066447",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.