Active NPI
Carolyn Maldonado-Garcia, M.D.
- General Practice Physician
- Deerfield Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME100021
- Practice address
- 4020 W Hillsboro Blvd
Deerfield Beach, FL 33442-9416 - Phone
- (855) 226-6633
- Fax
- (866) 285-7068
- NPI assigned
- Sep 25, 2007
- Last updated
- Jan 21, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME100021 | FL | |
| Internal Medicine Physician | 207R00000X | ME100021 | FL | |
| General Practice Physician | 208D00000X | ME100021 | FL | Primary |
Addresses
Primary practice location
4020 W Hillsboro Blvd
Deerfield Beach, FL 33442-9416
Mailing address
4855 W Hillsboro Blvd
Suite B-2
Coconut Creek, FL 33073-4356
Phone (954) 418-1683
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME100021 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yn Health Care Services Corp | Current | Accepting new patients | |
| Associatesmd Medical Group Inc | Current | Accepting new patients | |
| Tamer Gozleveli DO PA | Current | Accepting new patients | |
| Innovative Care Inc | Family Medicine | Current | Accepting new patients |
| Care Talk Health FL PA | Current | Accepting new patients | |
| Associatesmd Medical Group Inc | Family Medicine | Current | Accepting new patients |
| Blue Sky Community Mental Corp | Current | Accepting new patients | |
| A&P Medical Center Inc | Past | Accepting new patients | |
| Complete Local Specialty Care, Inc | Family Medicine | Past | Accepting new patients |
| Humanity Health Medical Center,Inc | Past | Accepting new patients | |
| Care Telehealth Medical Services Ny PC | Past | Accepting new patients |
Locations
4780 SW 64th Ave
Ste 103
Davie, FL 33314
2122 W Cypress Creek Rd
Ste 110
Ft Lauderdale, FL 33309
Phone (954) 353-3180
13335 SW 124th St
Ste 211
Miami, FL 33186
Phone (786) 551-8253
8501 SW 124th Ave
Ste 204B1
Miami, FL 33183
Phone (786) 442-4002
12600 Pembroke Rd
Ste 100
Miramar, FL 33027
Phone (954) 432-5400
1 SW 129th Ave
Ste 109
Pembroke Pines, FL 33027
Phone (954) 433-4200
1 SW 129th Ave
Ste 304
Pembroke Pines, FL 33027
Phone (954) 422-5400
1655 Palm Beach Lakes Blvd
Ste 900
West Palm Beach, FL 33401
4849 Rugby Ave
Bethesda, MD 20814
Phone (240) 817-7500
Networks
- Optimum HealthCare HMO Network
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HAEGBA
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Davie, FL
- NPI 1558900472
-
- Community/Behavioral Health Agency
- Miami, FL
- NPI 1699594978
-
- Geriatric Medicine (Internal Medicine) Physician
- Miramar, FL
- NPI 1417169210
Family Medicine
-
- Geriatric Medicine (Family Medicine) Physician
- Pembroke Pines, FL
- NPI 1295964237
-
- Community Health Clinic/Center
- Miami, FL
- NPI 1053155812
-
- Public Health & General Preventive Medicine Physician
- Bethesda, MD
- NPI 1477263077
FL
-
- Urgent Care Clinic/Center
- Pembroke Pines, FL
- NPI 1073141156
-
- Clinic/Center
- Miami, FL
- NPI 1477509305
-
dba CLSC
- Family Medicine Physician
- Coconut Creek, FL
- NPI 1538155262
-
- Clinic/Center
- Miami, FL
- NPI 1588607378
-
- Public Health & General Preventive Medicine Physician
- Bethesda, MD
- NPI 1750060547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611187200000",
"number": "1669669578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4855 W HILLSBORO BLVD",
"address_2": "SUITE B-2",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330734356",
"telephone_number": "954-418-1683",
"fax_number": "954-418-1698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4020 W HILLSBORO BLVD",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334429416",
"telephone_number": "855-226-6633",
"fax_number": "866-285-7068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALDONADO-GARCIA",
"first_name": "CAROLYN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-25",
"last_updated": "2021-01-21",
"certification_date": "2021-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME100021",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME100021",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME100021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deerfield Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.