Individual provider Active NPI

Agostina Carrion

  • Physician Assistant
  • Aventura, FL
National Provider Identifier
1508587122
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9116367 Issued in FL
Practice address
21097 NE 27TH CT Ste 540
Aventura, FL 33180-1235
Phone
(305) 914-3480
NPI assigned
Sep 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9116367 FL Primary

Addresses

Primary practice location

21097 NE 27TH CT Ste 540
Aventura, FL 33180-1235

Mailing address

3921 SW 160TH Ave Apt 202
Miramar, FL 33027-4673
Phone (786) 273-6383

Other practice location 1

1115 S Federal Hwy
Fort Lauderdale, FL 33316-1256
Phone (954) 674-6646

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221006000656 FL Practitioner - Physician Assistant 6406232941 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawnwood Healthcare Specialists LLCGroup PAC ID 4789750118, 47 clinicians

Practice addresses (Care Compare)

11750 Bird Rd
Miami, FL 33175-3530
Phone (305) 559-1334

11750 SW 40 St
Miami, FL 33175-3530
Phone (305) 223-3000

21097 NE 27TH CT
Suite 540
Aventura, FL 33180-1235
Phone (305) 918-7050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: agostina.carrion@hca4.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1508587122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 SW 160TH AVE APT 202",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274673",
            "telephone_number": "786-273-6383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21097 NE 27TH CT STE 540",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801235",
            "telephone_number": "305-914-3480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1115 S Federal Hwy",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333161256",
            "country_code": "US",
            "telephone_number": "954-674-6646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRION",
        "first_name": "AGOSTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9116367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.