Carlos Reydell Medina, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

ME106831 Issued in FL

Practice address

21110 Biscayne Blvd Ste 201
Aventura, FL 33180-1251

Phone

(786) 817-7808

Fax

(786) 551-2299

NPI assigned

Mar 10, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Plastic and Reconstructive Surgery

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Carlos Medina MD PA

  • Plastic and Reconstructive Surgery Physician
  • Aventura, FL
  • NPI 1700242617
  Medicare reassignment NPD Authorized official
• Aventura Healthcare Specialists, LLC

  • Hematology & Oncology Physician
  • Aventura, FL
  • NPI 1528203114
  NPD (past)

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

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1487895124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 E HALLANDALE BEACH BLVD # 134",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094619",
            "telephone_number": "786-817-7808",
            "fax_number": "786-551-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21110 BISCAYNE BLVD STE 201",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801251",
            "telephone_number": "786-817-7808",
            "fax_number": "786-551-2299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11750 SW 40th St Ste 606",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331753530",
            "country_code": "US",
            "telephone_number": "786-817-7808",
            "fax_number": "781-551-2299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10095 N Kendall Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331761797",
            "country_code": "US",
            "telephone_number": "786-817-7808",
            "fax_number": "786-551-2299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "CARLOS",
        "middle_name": "REYDELL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-10",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PA",
            "license": "182714",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME106831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medica Pharmacy & Compounding
• Medical Center of Winston Towers Inc
• Medical Consultants of Florida, LLC
• Medical Specialists and Wellness Center of South Florida, LLC
• Medicament LLC
• Karen Y Medina
• Kelly Maria Medina
• Muriel Veronica Medina, LCSW
• Yanelys Medina, APRN
• Medsmart Wellness Centers Inc.

• Plastic Surgery Physician in Aventura, FL
• Providers in Aventura, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.