Octavio B Carreno MD PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME0014312 Issued in FL

Legal business name

OCTAVIO B CARRENO MD PA

Practice address

3661 South Miami Ave
Ste 601
Miami, FL 33133-4248

Phone

(305) 854-4555

Fax

(305) 854-4511

NPI assigned

Jul 7, 2006

Organization subpart

No

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

Authorized official

Name

Octavio B Carreno, MD PA

Title

President

Phone

(305) 854-4555

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568494805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3661 SOUTH MIAMI AVE",
            "address_2": "STE 601",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334248",
            "telephone_number": "305-854-4555",
            "fax_number": "305-854-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 SOUTH MIAMI AVE",
            "address_2": "STE 601",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334248",
            "telephone_number": "305-854-4555",
            "fax_number": "305-854-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCTAVIO B CARRENO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARRENO",
        "authorized_official_first_name": "OCTAVIO",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-854-4555",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0014312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Miami, FL
• Providers in Miami, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.