Individual provider Active NPI

Mirta Del V Caminero Tejedor, MD

  • Specialist
  • Miami, FL
National Provider Identifier
1942239231
Registry record updated Oct 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME56828 Issued in FL
Practice address
10651 SW 88 St.
Miami, FL 33176-1569
Phone
(305) 412-8222
Fax
(305) 412-8333
NPI assigned
Jul 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME56828 FL Primary

Addresses

Primary practice location

10651 SW 88 St.
Miami, FL 33176-1569

Mailing address

3100 SW 62ND Ave
Miami, FL 33155-3009
Phone (305) 668-5518

Other identifiers 1

IdentifierTypeStateIssuer
268248600MedicaidFL

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
I20070622000094 FL Practitioner - Dermatology 7618076209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10651 SW 88 St
Suite 101
Miami, FL 33176-1573
Phone (305) 412-8222

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions166
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mirta Caminero Tejedor MD PA CurrentSince Jul 15, 2008 Accepting new patients
Rube J Pardo MD PHD PA Past Accepting new patients
Children'S Skin Center PA Past Accepting new patients
Alejandro Pedrozo III MD PA Past Accepting new patients

Locations

10651 SW 88th St
Ste 101
Miami, FL 33176
Phone (305) 412-6222

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/bf8f05ba-6e12-4216-9197-5290cecb808c/

Organizations & group practices 4

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": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381363200000",
    "number": "1942239231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SW 62ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553009",
            "telephone_number": "305-668-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10651 SW 88 ST.",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761569",
            "telephone_number": "305-412-8222",
            "fax_number": "305-412-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEJEDOR",
        "first_name": "MIRTA",
        "middle_name": "DEL V CAMINERO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2013-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME56828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268248600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.