Individual provider Active NPI

Caridad D. Gallardo, MD

  • Anesthesiology Physician
  • Miami, FL
National Provider Identifier
1629040472
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME80093 Issued in FL
Practice address
3641 S Miami Ave
Miami, FL 33133-4205
Phone
(305) 854-0302
Fax
(305) 854-0308
NPI assigned
Feb 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME80093 FL Primary

Addresses

Primary practice location

3641 S Miami Ave
Miami, FL 33133-4205

Mailing address

9040 SW 117TH St
Miami, FL 33176-4349
Phone (305) 253-3066

Other identifiers 1

IdentifierTypeStateIssuer
03631YOtherFLBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050628000518 FL Practitioner - Anesthesiology 6406891670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesiologists of Greater Orlando IncGroup PAC ID 7416928536, 339 clinicians

Practice addresses (Care Compare)

1900 Don Wickham Dr
Clermont, FL 34711-1979
Phone (954) 939-5000

Hospital & facility affiliations

  • Orlando Health South Lake Hospital Hospital, Clermont, FL, CCN 100051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME80093FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesiologists of Greater Orlando Inc Anesthesiology Current Accepting new patients
Anesthesiologists of Greater Orlando Inc Anesthesiology CurrentSince Jan 29, 2022 Accepting new patients
Anesthesiologists of Greater Orlando Inc Anesthesiology CurrentSince Jan 29, 2022 Accepting new patients

Locations

890 Medical Park Dr
Clermont, FL 34711
Phone (352) 241-7142

2040 Oakley Seaver Dr
Ste 100
Clermont, FL 34711
Phone (352) 536-8865

1900 Don Wickham Dr
Clermont, FL 34711
Phone (352) 536-8761

555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200

10000 W Colonial Dr
Ocoee, FL 34761
Phone (321) 843-1378

83 W Miller St
Orlando, FL 32806
Phone (321) 841-5281

45 W Crystal Lake St
Ste 300
Orlando, FL 32806
Phone (407) 254-2522

17000 Porter Rd
Winter Garden, FL 34787
Phone (321) 841-3467

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1629040472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040 SW 117TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331764349",
            "telephone_number": "305-253-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3641 S MIAMI AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334205",
            "telephone_number": "305-854-0302",
            "fax_number": "305-854-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLARDO",
        "first_name": "CARIDAD",
        "middle_name": "D.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME80093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "03631Y",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.