Hector L Di Carlo MD PA

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

ME102570 Issued in FL

Legal business name

HECTOR L DI CARLO MD PA

Practice address

1321 S Andrews Ave
Fort Lauderdale, FL 33316-1837

Phone

(954) 533-1173

Fax

(954) 533-0723

NPI assigned

Jun 16, 2015

Last updated

Jul 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Hector Luis Di Carlo, MDNPI 1356597785

Title

President

Phone

(954) 533-1173

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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.

• Hector L Di Carlo, MD

  • Family Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1356597785
  Medicare reassignment NPD Authorized official
• Gina Nicole Johnson, ARNP

  • Family Nurse Practitioner
  • Lady Lake, FL
  • NPI 1770157687
  Medicare reassignment NPD
• Kyle James Oleary, ARNP

  • Nurse Practitioner
  • Wilton Manors, FL
  • NPI 1417679762

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1598146474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 S ANDREWS AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161837",
            "telephone_number": "954-533-1173",
            "fax_number": "964-533-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 S ANDREWS AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161837",
            "telephone_number": "954-533-1173",
            "fax_number": "954-533-0723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HECTOR L DI CARLO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-16",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "DI CARLO",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-533-1173",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME102570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011234400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Hickson Lac LLC
• Heavenly Senior Care LLC (Heavenly Senior Care)
• Michelle Hebbeler, LCSW
• Bradley Hebda
• Kandice Hechavarria, DNP, CRNA
• Jennifer R Heffernan, MPT
• Muhammad Heiba, D.C.
• J Michael Heider, DDS
• Maryann A Heidersberger, RNFA CRNFA
• Judith A. Heidrich, M.S., L.M.H.C.

• Adult Medicine Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Adult Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.