Individual provider Active NPI

Emely Caridad Carretero, PA-C

  • Physician Assistant
  • Miami Lakes, FL
National Provider Identifier
1669322434
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9121285 Issued in FL
Practice address
15010 Royal Palm CT
Miami Lakes, FL 33014-2535
Phone
(786) 308-5378
NPI assigned
Feb 2, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9121285 FL Primary

Addresses

Primary practice location

15010 Royal Palm CT
Miami Lakes, FL 33014-2535

Mailing address

15010 Royal Palm CT
Miami Lakes, FL 33014-2535
Phone (786) 308-5378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9121285FLMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1769990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1669322434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15010 ROYAL PALM CT",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142535",
            "telephone_number": "786-308-5378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15010 ROYAL PALM CT",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142535",
            "telephone_number": "786-308-5378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRETERO",
        "first_name": "EMELY",
        "middle_name": "CARIDAD",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-02",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9121285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

Verify at the official NPI Registry.