Casablanca Dermatology LLC

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

CASABLANCA DERMATOLOGY LLC

Practice address

8726 NW 26TH St
Doral, FL 33172-1627

Phone

(786) 807-7881

NPI assigned

Aug 7, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Lusayma Sanchez

Title

Manager

Phone

(786) 452-3109

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Casablanca Dermatology LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Casablanca Dermatology LLC

  • MOHS-Micrographic Surgery Physician
  • Doral, FL
  • NPI 1518857762
  NPD tax ID

Networks

• HealthSun Health Plans Network

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Faris Z Hawatmeh, DO

  • Dermatology Physician
  • Hialeah, FL
  • NPI 1639798184

  Mohs-Micrographic Surgery

  Medicare reassignment NPD
• Lizet Vidal, MD

  • Family Medicine Physician
  • Doral, FL
  • NPI 1184899676
  NPD

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1710717335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 E 25TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8726 NW 26TH ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721627",
            "telephone_number": "786-807-7881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "840 E 25th St",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330133402",
            "country_code": "US",
            "telephone_number": "786-452-3109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CASABLANCA DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "LUSAYMA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-452-3109",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodney Carroll
• Seanetta Carson
• Yanet Cartaya
• Gabrielys Carvajal Gonzalez
• Casablanca Dermatology LLC
• Casablanca Medical LLC
• Yohana Casali
• Leandro Casanova
• Ariel Irene Casaretto
• Tania Margarita Casas Gonzalez

• MOHS-Micrographic Surgery Physician in Doral, FL
• Providers in Doral, FL by specialty
• MOHS-Micrographic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; 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.