Organization Active NPI

Carlos R Santos MD PA

  • Pulmonary Disease Physician
  • N Miami Beach, FL
National Provider Identifier
1578737185
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME81286 Issued in FL
Legal business name
CARLOS R SANTOS MD PA
Practice address
16855 NE 2ND Ave
Suite 302a
N Miami Beach, FL 33162-1744
Phone
(954) 437-0803
Fax
(954) 437-0680
NPI assigned
Apr 15, 2008
Last updated
Feb 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

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

Authorized official

Name
Dr. Carlos R Santos, MDNPI 1851343578
Title
Owner
Phone
(954) 437-0803

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME81286 FL Primary

Addresses

Primary practice location

16855 NE 2ND Ave
Suite 302a
N Miami Beach, FL 33162-1744

Mailing address

PO Box 198704
Atlanta, GA 30384-8704
Phone (954) 437-0803

Other identifiers 1

IdentifierTypeStateIssuer
265324900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080617000476 FL Part B Supplier - Clinic/Group Practice 6103997283 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: Miramar, FL; North Miami Beach, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Carlos R Santos MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

16855 NE 2nd Ave
Ste 302A
North Miami Beach, FL 33162
Phone (305) 653-8566

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266883200000",
    "number": "1578737185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198704",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303848704",
            "telephone_number": "954-437-0803",
            "fax_number": "954-437-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16855 NE 2ND AVE",
            "address_2": "SUITE 302A",
            "city": "N MIAMI BEACH",
            "state": "FL",
            "postal_code": "331621744",
            "telephone_number": "954-437-0803",
            "fax_number": "954-437-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS R SANTOS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2010-02-23",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-437-0803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME81286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265324900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in N Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.