Carlos Maria, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME 112541 Issued in FL

Practice address

4500 Hodges Blvd Ste 1
Jacksonville, FL 32224-2207

Phone

(904) 347-2773

Fax

(904) 347-2773

NPI assigned

Nov 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: carlos.maria.1@10117.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/10117/brand/1/csg/1/fhir/r4

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.

• Starfish Pediatrics PA

  • Pediatrics Physician
  • Jacksonville, FL
  • NPI 1447508478
  NPD (past) Authorized official

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1508936949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17774",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322457774",
            "telephone_number": "904-347-2773",
            "fax_number": "904-347-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 HODGES BLVD STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322242207",
            "telephone_number": "904-347-2773",
            "fax_number": "904-347-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIA",
        "first_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "057100",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "057100",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME 112541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006488800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gail Shaw Margerum, M.D.
• Brooke Margol, ARNP
• Alan Margolis
• Margaret Margretta, ARNP
• Jeffrey Margulis, DDS
• Mariam Barikbin, DMD, PA
• Marian Lavonne Jones
• Erika Maribona
• Manuel Marichal
• Eduardo J Mariel, M.D.

• Pediatrics Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; 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.