Marcos Jose Carvajal, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11006467 Issued in FL

Practice address

2401 Dunhill Ave
Miramar, FL 33025-3813

Phone

(786) 447-2035

NPI assigned

Apr 16, 2012

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

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Blue Diamond Medical Center Corp.

  • Family Nurse Practitioner
  • Miami Lakes, FL
  • NPI 1245967587
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1649537606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 DUNHILL AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253813",
            "telephone_number": "786-447-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 DUNHILL AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253813",
            "telephone_number": "786-447-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARVAJAL",
        "first_name": "MARCOS",
        "middle_name": "JOSE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-16",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11006467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Carter, RDN, LDN, IFNCP
• Ashley V Carter, RD, LDN
• Jay Carter Jr., LCSW
• Kayla Cartwright
• Juan J Carvajal Rubio
• Decio Alexandre de Freitas Carvalho, M.D.
• Edilaine Madureira Carvalho
• Joseph J Casale, M.D.
• Paola Casanova, MD
• Jocelyn Marie Casas, BA

• Family Nurse Practitioner in Miramar, FL
• Providers in Miramar, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.