NPIMap

Individual provider Active NPI

Reinaldo Carvajal, M.D.

  • Internal Medicine Physician
  • Pembroke Pines, FL
National Provider Identifier
1841206000
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0060491 Issued in FL
Practice address
431 NW 199TH Ave
Pembroke Pines, FL 33029-3351
Phone
(305) 827-3684
Fax
(954) 430-0861
NPI assigned
Jul 31, 2006
Last updated
Mar 3, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0060491 FL Primary

Addresses

Primary practice location

431 NW 199TH Ave
Pembroke Pines, FL 33029-3351

Mailing address

431 NW 199TH Ave
Pembroke Pines, FL 33029-3351
Phone (305) 827-3684

Other identifiers 1

IdentifierTypeStateIssuer
056797300MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040618000791 FL Practitioner - Internal Medicine 6608851357 Practice locations: Miami, FL; Miami Gardens, FL; Miami Lakes, FL; Hialeah, FL; Miami Springs, FL; Pembroke Pines, FL

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

431 NW 199TH Ave
Pembroke Pines, FL 33029-3351
Phone (305) 827-3684

6750 W 22ND Court
Palmetto Rehab and Health Ctr
Hialeah, FL 33016-3918
Phone (305) 823-3119

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dulce Hogar II, Inc. Past Accepting new patients
Antonia E Ruaix MD PA Past Accepting new patients
Dora Home Care, Inc. Past Accepting new patients
Francisco Dieguez Jr Mdpa Internal Medicine Past Accepting new patients
Jeannie's Place, Inc. Past Accepting new patients
Professional Home Care Corp. Past Accepting new patients
Dulce Hogar, Inc. Past Accepting new patients
Yamile's Home Past Accepting new patients
Mobile Health Inc. Past Accepting new patients
Gilberto J Acosta Podiatrist Inc Past Accepting new patients
MD Home Care Past Accepting new patients

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425340800000",
    "number": "1841206000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 NW 199TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293351",
            "telephone_number": "305-827-3684",
            "fax_number": "954-430-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 NW 199TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293351",
            "telephone_number": "305-827-3684",
            "fax_number": "954-430-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARVAJAL",
        "first_name": "REINALDO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2015-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0060491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056797300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.