Organization Active NPI

Varadero Medical Center of Miami

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1487618997
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
VARADERO MEDICAL CENTER OF MIAMI
Practice address
5850 W Flagler St
Miami, FL 33144-3363
Phone
(305) 263-9590
Fax
(305) 263-9657
NPI assigned
Apr 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Authorized official

Name
Pedro R Caro, M.D.
Title
Director
Phone
(305) 263-9590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X FL Primary

Addresses

Primary practice location

5850 W Flagler St
Miami, FL 33144-3363

Mailing address

7925 NW 12TH St Ste 201
Doral, FL 33126-1821
Phone (305) 874-3909

Other identifiers 2

IdentifierTypeStateIssuer
25378OtherFLBCBS OF FL
274237300MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668988800000",
    "number": "1487618997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7925 NW 12TH ST STE 201",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261821",
            "telephone_number": "305-874-3909",
            "fax_number": "305-874-3916"
        },
        {
            "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": {
        "organization_name": "VARADERO MEDICAL CENTER OF MIAMI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-12",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A",
        "authorized_official_last_name": "CARO",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "305-263-9590",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "25378",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274237300",
            "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 Nov 21, 2022; 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.