Active NPI
Maria Del Carmen Paez de Canonico, MD
- Surgical Assistant
- Doral, FL
National Provider Identifier
1689102386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 17-307
- Practice address
- 8850 NW 36TH St Apt 2125
Doral, FL 33178-4040 - Phone
- (786) 301-6743
- NPI assigned
- May 25, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 17-307 | FL | Primary |
Addresses
Primary practice location
8850 NW 36TH St Apt 2125
Doral, FL 33178-4040
Mailing address
8850 NW 36TH St Apt 2125
Doral, FL 33178-4040
Phone (786) 301-6743
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17-307 | FL | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495670400000",
"number": "1689102386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8850 NW 36TH ST APT 2125",
"city": "DORAL",
"state": "FL",
"postal_code": "331784040",
"telephone_number": "786-301-6743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8850 NW 36TH ST APT 2125",
"city": "DORAL",
"state": "FL",
"postal_code": "331784040",
"telephone_number": "786-301-6743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAEZ DE CANONICO",
"first_name": "MARIA",
"middle_name": "DEL CARMEN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-25",
"last_updated": "2017-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "FL",
"license": "17-307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.