Active NPI
Carlos A Handal-Saca, M.D.
- Pediatrics Physician
- Hialeah, FL
National Provider Identifier
1891793337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME0072355
- Practice address
- 4410 W 16TH Ave
Ste.# 60
Hialeah, FL 33012 - Phone
- (305) 823-0721
- Fax
- (305) 823-2041
- NPI assigned
- Jul 8, 2005
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME0072355 | FL | Primary |
Addresses
Primary practice location
4410 W 16TH Ave
Ste.# 60
Hialeah, FL 33012
Mailing address
4410 W 16TH Ave
Ste.# 60
Hialeah, FL 33012-7194
Phone (305) 823-0721
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160089 | Other | FL | STAY WELL PROVIDER # |
| 172504 | Other | FL | JMH PLAN |
| 0025955 | Other | FL | NHP PROVIDER # |
| 107395 | Other | FL | HUMANA PROVIDER # |
| 107396 | Other | FL | HUMANA PROVIDER # |
| 270390 | Other | FL | AVMED PROVIDER NUMBER |
| 592170298 | Other | FL | UNITED HEALTHCARE PROVIDE |
| SG004535-F794 | Other | FL | VISTA HEALTH PLAN PROVIDE |
| 12-003353 | Other | FL | UNITED HEALTHCARE PROVIDE |
| 259672500 | Medicaid | FL | |
| 592170298 | Other | FL | TID |
| 7303212 | Other | FL | AETNA PROVIDER # |
| 172497 | Other | FL | JMH PLAN |
| 213316 | Other | FL | AMERIGROUP PROVIDER # |
| 9441840001 | Other | FL | CIGNA PAL ID |
| 259672501 | Medicaid | FL | |
| 44267 | Other | FL | BC/BS PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0072355 | FL | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602201600000",
"number": "1891793337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4410 W 16TH AVE",
"address_2": "STE.# 60",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330127194",
"telephone_number": "305-823-0721",
"fax_number": "305-823-2041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4410 W 16TH AVE",
"address_2": "STE.# 60",
"city": "HIALEAH",
"state": "FL",
"postal_code": "33012",
"telephone_number": "305-823-0721",
"fax_number": "305-823-2041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANDAL-SACA",
"first_name": "CARLOS",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-08",
"last_updated": "2020-10-09",
"certification_date": "2020-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME0072355",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STAY WELL PROVIDER #",
"identifier": "160089",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JMH PLAN",
"identifier": "172504",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP PROVIDER #",
"identifier": "0025955",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA PROVIDER #",
"identifier": "107395",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA PROVIDER #",
"identifier": "107396",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED PROVIDER NUMBER",
"identifier": "270390",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE PROVIDE",
"identifier": "592170298",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISTA HEALTH PLAN PROVIDE",
"identifier": "SG004535-F794",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE PROVIDE",
"identifier": "12-003353",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "259672500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TID",
"identifier": "592170298",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER #",
"identifier": "7303212",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JMH PLAN",
"identifier": "172497",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP PROVIDER #",
"identifier": "213316",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PAL ID",
"identifier": "9441840001",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "259672501",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS PROVIDER #",
"identifier": "44267",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.