Jorge Guillermo Carr Gonzalez

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11030448 Issued in FL

Practice address

3695 NW 19TH St
Miami, FL 33125-1023

Phone

(786) 616-0895

NPI assigned

May 1, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Clinica Las Mercedes, LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Miami, FL
  • NPI 1326090960
  Medicare reassignment NPD
• Clinica Las Mercedes, LLC

  • Multi-Specialty Clinic/Center
  • Tamarac, FL
  • NPI 1518673565
  NPD

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1952158719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3695 NW 19TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251023",
            "telephone_number": "786-616-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3695 NW 19TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251023",
            "telephone_number": "786-616-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR GONZALEZ",
        "first_name": "JORGE",
        "middle_name": "GUILLERMO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11030448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberto Carpio, M.D.
• Yadira Carpio, APRN, NNP-BC
• Daniel A Carpman MD, M.D.
• Carpricorn Retirement Home
• Carr and Associates, Inc.
• Dashiel Jie Carr Hodson, D.D.S.
• Natalie Carr, OTR/L
• Rukiya J Carr, COTA
• Grisel Carra
• Alain Enrique Carracedo Garcia

• Family Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.