Carlos F Vallejo MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0069920 Issued in FL

Legal business name

CARLOS F VALLEJO MD PA

Practice address

5803 NW 151St St
Ste 101
Miami Lakes, FL 33014-2473

Phone

(305) 696-8802

Fax

(305) 696-8156

NPI assigned

Aug 9, 2010

Organization subpart

No

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

Authorized official

Name

Carlos F Vallejo, M.D.

Title

Medical Doctor/President

Phone

(305) 696-8802

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 3

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

• Carmen Cabezaromero, MD

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1427101534
  Medicare reassignment NPD
• Lissette Selem, PHYSICIAN/MD

  • Psychiatry Physician
  • Miami Lakes, FL
  • NPI 1093910499
  Medicare reassignment NPD
• Enrique Villa, M.D.

  • Family Medicine Physician
  • Miami, FL
  • NPI 1710240718
  Medicare reassignment NPD

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1740595339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5803 NW 151ST ST",
            "address_2": "STE 101",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142473",
            "telephone_number": "305-696-8802",
            "fax_number": "305-696-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5803 NW 151ST ST",
            "address_2": "STE 101",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142473",
            "telephone_number": "305-696-8802",
            "fax_number": "305-696-8156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS F VALLEJO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-09",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "VALLEJO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MEDICAL DOCTOR/PRESIDENT",
        "authorized_official_telephone_number": "305-696-8802",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0069920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carewell Clinic Corp
• Caribe Catering LLC
• Caring Hands Miami LLC
• Caring People Inc
• Carla'S Family Chiropractic Center
• Adianez Carmenate Valdes
• Carolina'S Care Center Corp.
• Jennifer Carr
• Adriana Carrasco Martinez
• Erik Carrasco, M.D

• Internal Medicine Physician in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.