Organization Active NPI

Neurology & Pain Medicine Inc

  • Neurology Physician
  • Florida City, FL
National Provider Identifier
1942433834
Registry record updated Aug 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME82190 Issued in FL
Legal business name
NEUROLOGY & PAIN MEDICINE INC
Practice address
1380 N Krome Ave
Suite 103
Florida City, FL 33034-2406
Phone
(305) 224-9487
Fax
(305) 224-9491
NPI assigned
Aug 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2009

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

Authorized official

Name
Angel M Carrasco, MDNPI 1891729125
Title
President
Phone
(305) 224-9487

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X ME82190 FL Primary

Addresses

Primary practice location

1380 N Krome Ave
Suite 103
Florida City, FL 33034-2406

Mailing address

1380 N Krome Ave
Suite 103
Florida City, FL 33034-2406
Phone (305) 224-9487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091207000202 FL Part B Supplier - Clinic/Group Practice 3476692351 Receives reassigned benefits from 3 practitioners
Practice locations: Homestead, FL; Miami, FL

National Provider Directory

National Provider Directory

Locations

14201 SW 120th St
Ste 109
Miami, FL 33186
Phone (305) 266-0222

5960 NW 7th St
Ste C
Miami, FL 33126
Phone (305) 266-0222

12955 SW 132nd St
Ste 102
Miami, FL 33186
Phone (305) 266-0222

815 NW 57th Ave
Ste 300A
Miami, FL 33126
Phone (305) 266-0222

7200 NW 7th St
Ste 206
Miami, FL 33126
Phone (305) 266-0222

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1942433834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 N KROME AVE",
            "address_2": "SUITE 103",
            "city": "FLORIDA CITY",
            "state": "FL",
            "postal_code": "330342406",
            "telephone_number": "305-224-9487",
            "fax_number": "305-224-9491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 N KROME AVE",
            "address_2": "SUITE 103",
            "city": "FLORIDA CITY",
            "state": "FL",
            "postal_code": "330342406",
            "telephone_number": "305-224-9487",
            "fax_number": "305-224-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY & PAIN MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-26",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "CARRASCO",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-224-9487",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME82190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florida City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.