Active NPI
Carol Da Costa MD PA
- Pediatrics Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME73650
- Legal business name
- CAROL DA COSTA MD PA
- Practice address
- 15671 SW 88TH St
Miami, FL 33196-1103 - Phone
- (305) 752-6465
- Fax
- (305) 752-6467
- NPI assigned
- Nov 2, 2006
- Last updated
- May 12, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Carol Ana Da Costa Gomez, MD
- Title
- President
- Phone
- (305) 752-6465
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME73650 | FL | Primary |
Addresses
Primary practice location
15671 SW 88TH St
Miami, FL 33196-1103
Mailing address
15671 SW 88TH St
Miami, FL 33196-1103
Phone (305) 752-6465
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 269721100 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Carol Da Costa MD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatrics Physician
- Miami, FL
- NPI 1215197231
Locations
15671 SW 88th St
Miami, FL 33196
Phone (305) 752-6465
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pediatrics Physician
- Miami, FL
- NPI 1235132085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210550400000",
"number": "1730267055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15671 SW 88TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331961103",
"telephone_number": "305-752-6465",
"fax_number": "305-752-6467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15671 SW 88TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331961103",
"telephone_number": "305-752-6465",
"fax_number": "305-752-6467"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROL DA COSTA MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-02",
"last_updated": "2008-05-12",
"status": "A",
"authorized_official_last_name": "DA COSTA GOMEZ",
"authorized_official_first_name": "CAROL",
"authorized_official_middle_name": "ANA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-752-6465",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME73650",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "269721100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.