Active NPI
Carolina Jaramillo, M.D.
- Pediatrics Physician
- Hollywood, FL
National Provider Identifier
1699017970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME 127396
- Practice address
- 4651 Sheridan St
Suite 270
Hollywood, FL 33021-3457 - Phone
- (954) 989-6000
- Fax
- (954) 967-8962
- NPI assigned
- Mar 25, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME 127396 | FL | Primary |
Addresses
Primary practice location
4651 Sheridan St
Suite 270
Hollywood, FL 33021-3457
Mailing address
4651 Sheridan St
Suite 270
Hollywood, FL 33021-3457
Phone (954) 989-6000
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 |
|---|---|---|---|
| ME 127396 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Citrus Health Network Inc | Past | Accepting new patients | |
| Citrus Health Network Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Hialeah, FL
- NPI 1275647752
-
- Federally Qualified Health Center (FQHC)
- Hialeah, FL
- NPI 1942506837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468886400000",
"number": "1699017970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4651 SHERIDAN ST",
"address_2": "SUITE 270",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330213457",
"telephone_number": "954-989-6000",
"fax_number": "954-967-8962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4651 SHERIDAN ST",
"address_2": "SUITE 270",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330213457",
"telephone_number": "954-989-6000",
"fax_number": "954-967-8962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARAMILLO",
"first_name": "CAROLINA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-25",
"last_updated": "2016-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME 127396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.