Vincent Carraccio

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

29050 Coral Sea Blvd BLDG 718
Homestead, FL 33039-1299

Phone

(786) 243-4838

NPI assigned

Sep 23, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1619648219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29050 CORAL SEA BLVD BLDG 718",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330391299",
            "telephone_number": "786-243-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29050 CORAL SEA BLVD BLDG 718",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330391299",
            "telephone_number": "786-243-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRACCIO",
        "first_name": "VINCENT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-23",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USCG",
            "identifier": "1514062699",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Vincent.S.Carraccio@uscg.mil",
            "affiliation": "N",
            "endpointDescription": "government email",
            "address_1": "29050 Coral Sea Blvd Bldg 718",
            "city": "Homestead",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330391299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Zsilagyi Carmenaty
• Marielys Carmona Ramos
• Felix Carmona
• Jonathan Carmona
• Dianaleidis Carpio
• Paula Penzin Carraro
• Gissel Karina Carrasco
• Melanie Carrasco
• Janelle Carrasquilla
• Elizabeth Carreno de la Cruz

• Independent Duty Corpsman in Homestead, FL
• Providers in Homestead, FL by specialty
• Independent Duty Corpsman in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.