Carmen R Delarosa, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME49247 Issued in FL

Practice address

400 Milestone Blvd
Cantonment, FL 32533-6579

Phone

(850) 478-2333

Fax

(850) 478-1809

NPI assigned

May 18, 2006

Last updated

Jun 24, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Poarch Band of Creek Indians

  dba Poarch Creek Indian Health Department

  • Federally Qualified Health Center (FQHC)
  • Atmore, AL
  • NPI 1902916489

  TX

  Medicare reassignment
• Elaine C Sharp MD PA

  • Obstetrics & Gynecology Physician
  • Gulf Breeze, FL
  • NPI 1497154611
  NPD (past)
• Sacred Heart Health System Inc

  dba Ascension Rx 1411

  • Community/Retail Pharmacy
  • Pensacola, FL
  • NPI 1366260739
  NPD (past)
• Sacred Heart Health System, Inc.

  dba Ascension Medical Group Sacred Heart Urgent Care

  • Urgent Care Clinic/Center
  • Pensacola, FL
  • NPI 1770533077
  NPD (past)
• Tri Hospital MRI Center

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Port Huron, MI
  • NPI 1063581353
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1942253281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2699",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325132699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MILESTONE BLVD",
            "city": "CANTONMENT",
            "state": "FL",
            "postal_code": "325336579",
            "telephone_number": "850-478-2333",
            "fax_number": "850-478-1809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAROSA",
        "first_name": "CARMEN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME49247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044597500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annie Cyr
• Tami Cyr
• Robert Thomas Davies
• Davine Counseling Center, LLC
• Lacie Ann Day
• Taylor Detherow
• Sydnee Alexis Detrie
• Cassandra Jean Devlin
• Erica Diaz
• Digestive Health & Primary Care Clinic, LLC

• Family Medicine Physician in Cantonment, FL
• Providers in Cantonment, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.