Organization Active NPI

Carmen Espinosa - Perez MD, Inc.

  • Psychiatry Physician
  • Miami, FL
National Provider Identifier
1861246829
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
CARMEN ESPINOSA - PEREZ MD, INC.
Practice address
13500 SW 88TH St Ste 195
Miami, FL 33186-1528
Phone
(305) 753-7350
Fax
(305) 380-9746
NPI assigned
Apr 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Authorized official

Name
Nancy Gomez
Title
Office Manager
Phone
(786) 758-0143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

13500 SW 88TH St Ste 195
Miami, FL 33186-1528

Mailing address

13500 SW 88TH St Ste 195
Miami, FL 33186-1528
Phone (305) 753-7350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240812000621 FL Part B Supplier - Clinic/Group Practice 3173061041 Receives reassigned benefits from 3 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

13500 SW 88th St
Ste 195
Miami, FL 33186
Phone (305) 753-7350

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1861246829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13500 SW 88TH ST STE 195",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861528",
            "telephone_number": "305-753-7350",
            "fax_number": "305-380-9746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13500 SW 88TH ST STE 195",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861528",
            "telephone_number": "305-753-7350",
            "fax_number": "305-380-9746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMEN ESPINOSA - PEREZ MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-14",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "786-758-0143"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "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 Apr 16, 2024; 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.