Carmona Pathology Associates PA

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

CARMONA PATHOLOGY ASSOCIATES PA

Practice address

951 N Washington Ave
Titusville, FL 32796-2163

Phone

(321) 268-6111

Fax

(321) 268-6149

NPI assigned

Sep 27, 2007

Last updated

Sep 27, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pedro Carmona, MDNPI 1962463802

Title

President

Phone

(321) 268-6111

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pedro A Carmona, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Titusville, FL
  • NPI 1962463802
  Medicare reassignment Care Compare group NPD Authorized official
• Jigisha Rahul Chaudhari, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Titusville, FL
  • NPI 1790333888
  Medicare reassignment Care Compare group NPD
• Claudia Patricia Rojas, M.D

  • Anatomic Pathology Physician
  • Hollywood, FL
  • NPI 1821321332
  NPD
• Raul Ivan Vila, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Miami, FL
  • NPI 1467535112
  NPD

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569542400000",
    "number": "1669669214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 BUSCHWOOD PARK DR",
            "address_2": "SUITE 150",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336184465",
            "telephone_number": "813-935-8501",
            "fax_number": "813-935-8541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 N WASHINGTON AVE",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962163",
            "telephone_number": "321-268-6111",
            "fax_number": "321-268-6149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMONA PATHOLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2019-09-27",
        "status": "A",
        "authorized_official_last_name": "CARMONA",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-268-6111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056300500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arnold R Capobianco, DMD
• Juan Caraballo
• Lydia Cardona
• Gary Cardoso, D.M.D
• Caremax Medical Centers of Central Florida, LLC
• Pedro A Carmona, MD
• Felicia Carnahan
• Mary Elizabeth Carr-de Vries, IMH
• Jordan Carr
• Carrillo Surgical Associates LLC

• Anatomic Pathology & Clinical Pathology Physician in Titusville, FL
• Providers in Titusville, FL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.