Active NPI
Eduardo Careaga, M.D.
- Plastic and Reconstructive Surgery Physician
- Doral, FL
National Provider Identifier
1912166919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- ME126066
- Practice address
- 2001 NW 107TH Ave Ste 300
Doral, FL 33172-2514 - Phone
- (786) 461-1000
- NPI assigned
- Jun 4, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD433545 | PA | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | ME126066 | FL | Primary |
| Surgical Oncology Physician | 2086X0206X | 25MA08651300 | NJ |
Addresses
Primary practice location
2001 NW 107TH Ave Ste 300
Doral, FL 33172-2514
Mailing address
220 Alhambra Cir FL 1
Coral Gables, FL 33134-5146
Phone (305) 960-7511
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD433545 | PA | MD | Surgery Physician |
| ME126066 | FL | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kennedy Medical Group Practice, P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Voorhees, NJ
- NPI 1952726796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645660800000",
"number": "1912166919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 ALHAMBRA CIR FL 1",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331345146",
"telephone_number": "305-960-7511",
"fax_number": "305-441-2556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 NW 107TH AVE STE 300",
"city": "DORAL",
"state": "FL",
"postal_code": "331722514",
"telephone_number": "786-461-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAREAGA",
"first_name": "EDUARDO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-04",
"last_updated": "2022-02-24",
"certification_date": "2022-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD433545",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "FL",
"license": "ME126066",
"primary": true
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "NJ",
"license": "25MA08651300",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.