Individual provider Active NPI

Carlos Sandoval, MD

  • Psychiatry Physician
  • Key Largo, FL
National Provider Identifier
1780625822
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME67821 Issued in FL
Practice address
99198 Overseas Hwy Ste 5
Key Largo, FL 33037-2437
Phone
(305) 434-7660
Fax
(305) 451-8019
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME67821 FL Primary

Addresses

Primary practice location

99198 Overseas Hwy Ste 5
Key Largo, FL 33037-2437

Mailing address

1000 NW North River Dr
# 110
Miami, FL 33136-2900
Phone (305) 926-7782

Other practice location 1

585 NE 92nd St
Miami Shores, FL 33138-3162
Phone (305) 926-7782

Other identifiers 1

IdentifierTypeStateIssuer
378161500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051221000735 FL Practitioner - Psychiatry 2668494329 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
A and S Wellness Center LLCGroup PAC ID 5597150037, 11 clinicians
West Miami CMHC IncGroup PAC ID 3971693920, 7 clinicians
Guidance/Care Center, Inc.Group PAC ID 6608813035, 7 clinicians

Practice addresses (Care Compare)

1840 W 49TH St
Suite 606
Hialeah, FL 33012-2962
Phone (305) 846-9727

283 Park Blvd
Miami, FL 33126-8010
Phone (305) 262-0099

7915 NW 2ND St
Miami, FL 33126-8000
Phone (305) 262-0099

99198 Overseas Hwy 5
Key Largo, FL 33037-2437
Phone 305434766031209

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME67821FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guidance/Care Center, Inc. CurrentSince Nov 11, 2013 Accepting new patients
West Miami CMHC Inc CurrentSince Jan 2, 2018 Accepting new patients
Guidance/Care Center, Inc. CurrentSince Nov 11, 2013 Accepting new patients
Membership Therapy Center Past Accepting new patients
Miami-Dade Counseling Services Inc Past Accepting new patients
Andrea B. Trowers, MD PA PastSince Sep 13, 2023 Accepting new patients
Juan D Oms MD PA Psychiatry Past Accepting new patients
University of Miami Psychiatry Past Accepting new patients

Locations

99198 Overseas Hwy
Ste 5
Key Largo, FL 33037
Phone (305) 395-1361

3000 41st Street Ocean
Marathon, FL 33050
Phone (305) 434-9000

283 Park Blvd
Miami, FL 33126
Phone (305) 262-0099

7915 NW 2nd St
Miami, FL 33126
Phone (305) 262-0099

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1780625822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NW NORTH RIVER DR",
            "address_2": "# 110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331362900",
            "telephone_number": "305-926-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99198 OVERSEAS HWY STE 5",
            "city": "KEY LARGO",
            "state": "FL",
            "postal_code": "330372437",
            "telephone_number": "305-434-7660",
            "fax_number": "305-451-8019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "585 NE 92nd St",
            "address_purpose": "LOCATION",
            "city": "Miami Shores",
            "state": "FL",
            "postal_code": "331383162",
            "country_code": "US",
            "telephone_number": "305-926-7782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "CARLOS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME67821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378161500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Key Largo, FL

Sources for this page

Verify at the official NPI Registry.