Active NPI
Carlos F Fuster, M.D.
- Pediatrics Physician
- Miami, FL
National Provider Identifier
1639128234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME51204
- Practice address
- 11760 Bird Rd
Suite 550
Miami, FL 33175-8100 - Phone
- (305) 227-0088
- Fax
- (305) 227-7411
- NPI assigned
- May 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME51204 | FL | Primary |
Addresses
Primary practice location
11760 Bird Rd
Suite 550
Miami, FL 33175-8100
Mailing address
11760 Bird Rd
Suite 550
Miami, FL 33175-8100
Phone (305) 227-0088
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042037900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME51204 | FL | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600732800000",
"number": "1639128234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11760 BIRD RD",
"address_2": "SUITE 550",
"city": "MIAMI",
"state": "FL",
"postal_code": "331758100",
"telephone_number": "305-227-0088",
"fax_number": "305-227-7411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11760 BIRD RD",
"address_2": "SUITE 550",
"city": "MIAMI",
"state": "FL",
"postal_code": "331758100",
"telephone_number": "305-227-0088",
"fax_number": "305-227-7411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUSTER",
"first_name": "CARLOS",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-09",
"last_updated": "2020-09-22",
"certification_date": "2020-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME51204",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "042037900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.