Octavio De Jesus Carreno, M.D

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X

License

ME78105 Issued in FL

Practice address

3100 SW 62ND Ave
Ste 124
Miami, FL 33155

Phone

(305) 662-8316

Fax

(305) 663-8513

NPI assigned

Mar 31, 2006

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

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Otolaryngology

Education

Tulane University School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premium Healthcare Holdings, LLLPGroup PAC ID 7315320207, 8 clinicians

ENT and Allergy Associates of Florida, LLCGroup PAC ID 0042292849, 227 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Doctors Hospital Hospital, Coral Gables, FL, CCN 100296

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• ENT and Allergy Associates of Florida, LLC

  • Otolaryngology Physician
  • Boca Raton, FL
  • NPI 1164473120
  Medicare reassignment Care Compare group NPD
• ENT Group, LLC

  • Otolaryngology Physician
  • Miami, FL
  • NPI 1033883574

  Plastic Surgery Within the Head & Neck

  Medicare reassignment NPD Authorized official
• Premium Healthcare Holdings, LLLP

  • Multi-Specialty Clinic/Center
  • Miami, FL
  • NPI 1518587203
  Medicare reassignment Care Compare group NPD
• ENT Group, LLC

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Miami, FL
  • NPI 1912779984
  NPD Authorized official
• Hoover Family Medicine PA

  • General Practice Physician
  • Miami, FL
  • NPI 1427220813
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Doctors Hospital, Inc.

  • General Acute Care Hospital
  • Coral Gables, FL
  • NPI 1952351983
  Care Compare affiliation

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1629039409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SW 62ND AVE.",
            "address_2": "STE 124",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33155",
            "telephone_number": "305-662-8316",
            "fax_number": "305-663-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 SW 62ND AVE",
            "address_2": "STE 124",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33155",
            "telephone_number": "305-662-8316",
            "fax_number": "305-663-8513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 SW 69th Avenue",
            "address_2": "Suite 140",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331552947",
            "country_code": "US",
            "telephone_number": "305-450-1757",
            "fax_number": "305-265-4844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRENO",
        "first_name": "OCTAVIO",
        "middle_name": "DE JESUS",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "FL",
            "license": "ME78105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432628999",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ayled Carreno Toranzo
• Caridad Yamilet Carreno
• Giselle Carreno, M.S
• Glendys Carreno
• Jorge Carreno, DPT
• Teresa Carreno, M.D.
• Agueda Lucia Carrera Alvarez, LMT63211
• Mayerling Carrera Bello
• Rosemary Anne Carrera, OD
• Yiset Carreras Calzada

• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Miami, FL
• Providers in Miami, FL by specialty
• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.