Active NPI
Carlos a Conrado M D P a
- Internal Medicine Physician
- Homestead, FL
National Provider Identifier
1912023631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0061233
- Legal business name
- CARLOS A CONRADO M D P A
- Practice address
- 151 NW 11TH St
Suite E102
Homestead, FL 33030-4360 - Phone
- (305) 248-4877
- Fax
- (305) 245-1576
- NPI assigned
- Mar 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Carlos A Conrado, M.D.,
- Title
- Owner
- Phone
- (305) 248-4877
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0061233 | FL | Primary |
Addresses
Primary practice location
151 NW 11TH St
Suite E102
Homestead, FL 33030-4360
Mailing address
151 NW 11TH St
Suite E102
Homestead, FL 33030-4360
Phone (305) 248-4877
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 267644300 | Medicaid | FL | |
| 18453 | Other | FL | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339372800000",
"number": "1912023631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 NW 11TH ST",
"address_2": "SUITE E102",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330304360",
"telephone_number": "305-248-4877",
"fax_number": "305-245-1576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 NW 11TH ST",
"address_2": "SUITE E102",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330304360",
"telephone_number": "305-248-4877",
"fax_number": "305-245-1576"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARLOS A CONRADO M D P A",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-22",
"last_updated": "2012-06-11",
"status": "A",
"authorized_official_last_name": "CONRADO",
"authorized_official_first_name": "CARLOS",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-248-4877",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D.,"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "0061233",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "267644300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "18453",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.