Active NPI
Yoesly Carvajal
- Physical Therapy Assistant
- Miami, FL
National Provider Identifier
1780005843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 23895
- Practice address
- 8352 SW 40TH St
Miami, FL 33155-3354 - Phone
- (305) 595-2053
- NPI assigned
- Dec 16, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 23895 | FL | Primary |
Addresses
Primary practice location
8352 SW 40TH St
Miami, FL 33155-3354
Mailing address
140 NW 14TH Ave Apt 18
Miami, FL 33125-5646
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 462538234 | Other | FL | HOME HEALTH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23895 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387152000000",
"number": "1780005843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 NW 14TH AVE APT 18",
"city": "MIAMI",
"state": "FL",
"postal_code": "331255646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8352 SW 40TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331553354",
"telephone_number": "305-595-2053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARVAJAL",
"first_name": "YOESLY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-12-16",
"last_updated": "2013-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "23895",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOME HEALTH",
"identifier": "462538234",
"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 Dec 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.