Individual provider Active NPI

Carlos Joel Vasco, APRN

  • Acute Care Nurse Practitioner
  • Miami, FL
National Provider Identifier
1891567368
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
11029301 Issued in FL
Practice address
3663 S Miami Ave Ste 500
Miami, FL 33133-4253
Phone
(786) 428-1059
Fax
(786) 428-1062
NPI assigned
Oct 26, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2100X 11029301 FL Primary

Addresses

Primary practice location

3663 S Miami Ave Ste 500
Miami, FL 33133-4253

Mailing address

7369 NW 174TH Ter Apt 100
Hialeah, FL 33015-1141
Phone (786) 378-2097

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240108004736 FL Practitioner - Nurse Practitioner 5890146468 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11029301FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thoracic & Cardiovascular Surgeons LLC Single Specialty Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: carlos.vasco@hca4.eclinicaldirectplus.com

Organizations & group practices 2

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": "1698278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1891567368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7369 NW 174TH TER APT 100",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330151141",
            "telephone_number": "786-378-2097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3663 S MIAMI AVE STE 500",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334253",
            "telephone_number": "786-428-1059",
            "fax_number": "786-428-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASCO",
        "first_name": "CARLOS",
        "middle_name": "JOEL",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11029301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.