Organization Active NPI

Carmen J Ortiz-Butcher MD PA

  • Nephrology Physician
  • Coral Gables, FL
National Provider Identifier
1871836296
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME 45129 Issued in FL
Legal business name
CARMEN J ORTIZ-BUTCHER MD PA
Practice address
6305 Caballero Blvd
Coral Gables, FL 33146-3218
Phone
(786) 546-4465
Fax
(305) 365-8299
NPI assigned
Apr 3, 2013
Last updated
Apr 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

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

Authorized official

Name
Ms. Carmen J Ortiz-Butcher, MDNPI 1144321829
Title
President
Phone
(786) 546-4465

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME 45129 FL Primary

Addresses

Primary practice location

6305 Caballero Blvd
Coral Gables, FL 33146-3218

Mailing address

6305 Caballero Blvd
Coral Gables, FL 33146-3218
Phone (786) 546-4465

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130912000665 FL Part B Supplier - Clinic/Group Practice 7113161126 Receives reassigned benefits from 1 practitioner
Practice locations: Coral Gables, FL; Key Biscayne, FL

National Provider Directory

National Provider Directory
Tax ID family
Carmen J Ortiz Butcher MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1150 Campo Sano Ave
#401
Coral Gables, FL 33146
Phone (305) 661-9164

971 Crandon Blvd
Ste 967
Key Biscayne, FL 33149
Phone (305) 365-8222

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364947200000",
    "number": "1871836296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6305 CABALLERO BLVD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331463218",
            "telephone_number": "786-546-4465",
            "fax_number": "305-365-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305 CABALLERO BLVD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331463218",
            "telephone_number": "786-546-4465",
            "fax_number": "305-365-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMEN J ORTIZ-BUTCHER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-04-03",
        "status": "A",
        "authorized_official_last_name": "ORTIZ-BUTCHER",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-546-4465",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME 45129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.