Individual provider Active NPI

Angel M Carrasco, M.D.

  • Neurology Physician
  • Miami, FL
National Provider Identifier
1891729125
Registry record updated Mar 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME82190 Issued in FL
Practice address
5960 NW 7TH St
Suite # C
Miami, FL 33126-3155
Phone
(305) 266-0222
Fax
(305) 266-0848
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME82190 FL
Neurology Physician 2084N0400X ME82190 FL Primary

Addresses

Primary practice location

5960 NW 7TH St
Suite # C
Miami, FL 33126-3155

Mailing address

5960 NW 7TH St
Suite # C
Miami, FL 33126-2948
Phone (305) 266-0222

Other identifiers 2

IdentifierTypeStateIssuer
04485OtherFLBC/BS
265050900MedicaidFL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031215000824 FL Practitioner - Neurology 4385541747 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1964
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Miami, FL 33186
Phone (305) 266-0222

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7596PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology & Pain Medicine Inc Neurology CurrentSince Aug 5, 2009 Accepting new patients
Flagler Diagnostic and Sleeping Disorder, Inc. CurrentSince Mar 1, 2024 Accepting new patients
RCM Medical Center Inc Past Accepting new patients
First United Medical Center Inc Internal Medicine Past Accepting new patients
Grupo Geriatrico de Medicina de Familia, Inc. Past Accepting new patients
Orlando Puente MD PA Past Accepting new patients
Japh Medical Group Inc Past Accepting new patients
Kendall Neurological Services Past Accepting new patients
Orlando Maldonado, MD, PA Neurology Past Accepting new patients
Angel Carrasco, M.D.P.a Neurology PastSince Oct 15, 2005 Accepting new patients
SDR Clinic and Sleep Disorder Institute LLC Past Accepting new patients
Silverman Chiropractic & Rehabilitation Center Inc Past Accepting new patients
RCM Medical Center Past Accepting new patients

Locations

1555 N Krome Ave
Homestead, FL 33030
Phone (305) 248-6666

5960 NW 7th St
Ste C
Miami, FL 33126
Phone (305) 266-0222

7200 NW 7th St
Ste 206
Miami, FL 33126
Phone (305) 266-0222

12955 SW 132nd St
Ste 102
Miami, FL 33186
Phone (305) 266-0222

Interoperability endpoints

  • Direct secure messaging: neurologypainmedicine.angelcarrasco@131898.advancedmd-direct.com

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332720000000",
    "number": "1891729125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5960 NW 7TH ST",
            "address_2": "SUITE # C",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262948",
            "telephone_number": "305-266-0222",
            "fax_number": "305-266-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5960 NW 7TH ST",
            "address_2": "SUITE # C",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263155",
            "telephone_number": "305-266-0222",
            "fax_number": "305-266-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRASCO",
        "first_name": "ANGEL",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2012-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME82190",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME82190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "04485",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265050900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.