Organization Active NPI

Hector Di Carlo, MD, PA

  • Family Medicine Physician
  • Tamarac, FL
National Provider Identifier
1659642239
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HECTOR DI CARLO, MD, PA
Practice address
7710 NW 71St CT
Suite 304
Tamarac, FL 33321-2973
Phone
(954) 309-7099
Fax
(954) 721-6258
NPI assigned
Jan 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

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

Authorized official

Name
Dr. Hector L Di Carlo, MD
Title
President
Phone
(954) 309-7099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

7710 NW 71St CT
Suite 304
Tamarac, FL 33321-2973

Mailing address

4850 NE 25TH Ave
House a
Fort Lauderdale, FL 33308-4813
Phone (954) 309-7099

National Provider Directory

National Provider Directory

Locations

7710 NW 71st Ct
Ste 304
Tamarac, FL 33321
Phone (954) 309-7099

NPI Registry JSON

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1659642239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 NE 25TH AVE",
            "address_2": "HOUSE A",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084813",
            "telephone_number": "954-309-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 NW 71ST CT",
            "address_2": "SUITE 304",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212973",
            "telephone_number": "954-309-7099",
            "fax_number": "954-721-6258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HECTOR DI CARLO, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-13",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "DI CARLO",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-309-7099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.