Active NPI
Carlos Manuel Perez Sedano, ARNP
- Family Nurse Practitioner
- Miami, FL
National Provider Identifier
1851998850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F09200636
- Practice address
- 6821 SW 129TH Ave Apt 7
Miami, FL 33183-2465 - Phone
- (305) 788-8829
- NPI assigned
- Oct 4, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F09200636 | FL | Primary |
Addresses
Primary practice location
6821 SW 129TH Ave Apt 7
Miami, FL 33183-2465
Mailing address
6821 SW 129TH Ave Apt 7
Miami, FL 33183-2465
Phone (305) 788-8829
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F09200636 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roa-Licea MD, PA | Multi-Specialty | Current | Accepting new patients |
Locations
3661 S Miami Ave
Ste 901
Miami, FL 33133
Phone (305) 856-5057
6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611
Organizations & group practices 1
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": "1601769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601769600000",
"number": "1851998850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6821 SW 129TH AVE APT 7",
"city": "MIAMI",
"state": "FL",
"postal_code": "331832465",
"telephone_number": "305-788-8829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6821 SW 129TH AVE APT 7",
"city": "MIAMI",
"state": "FL",
"postal_code": "331832465",
"telephone_number": "305-788-8829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ SEDANO",
"first_name": "CARLOS",
"middle_name": "MANUEL",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-04",
"last_updated": "2020-10-04",
"certification_date": "2020-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "F09200636",
"primary": true
}
],
"identifiers": [],
"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 Oct 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.