Individual provider Active NPI

Carlos Abdiel Rosado-Cortes, CRNA

  • Certified Registered Nurse Anesthetist
  • Miami, FL
National Provider Identifier
1962990473
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
9415521 Issued in FL
Practice address
1400 NW 12TH Ave
Miami, FL 33136-1003
Phone
(305) 325-5511
Fax
(305) 243-5274
NPI assigned
Apr 30, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APRN9415521 FL
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 9415521 FL Primary

Addresses

Primary practice location

1400 NW 12TH Ave
Miami, FL 33136-1003

Mailing address

1400 NW 12TH Ave
Miami, FL 33136-1003
Phone (305) 325-5511

Other practice location 1

2140 W 68th St Ste 300
Hialeah, FL 33016-1815
Phone (305) 330-1974

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201223000045 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 5294147997 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulfstream Anesthesia Group LLCGroup PAC ID 7416028725, 19 clinicians
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians

Practice addresses (Care Compare)

2140 W 68 St
Suite 102
Hialeah, FL 33016-1815
Phone (305) 822-4107

8375 NW 53Rd Terr
Doral, FL 33166-4851
Phone (305) 689-8375

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
78.79
Promoting interoperability
100
Improvement activities
40
Cost
71.44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9415521FLMDCertified Registered Nurse Anesthetist
APRN9415521FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Galloway Anesthesia Associates LLC Single Specialty CurrentSince Jun 26, 2023 Accepting new patients
University of Miami CurrentSince Sep 1, 2024 Accepting new patients
Gulfstream Anesthesia Group LLC Single Specialty CurrentSince Dec 15, 2020 Accepting new patients
University of Miami Single Specialty Current Accepting new patients
Galloway Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 26, 2023 Accepting new patients
University of Miami Single Specialty CurrentSince Sep 1, 2024 Accepting new patients

Locations

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

2140 W 68th St
Ste 305
Hialeah, FL 33016
Phone (305) 822-4107

2140 W 68th St
Ste 102
Hialeah, FL 33016
Phone (305) 822-4107

135 W 49th St
Hialeah, FL 33012
Phone (305) 825-0500

1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006

7500 SW 87th Ave
Ste 101
Miami, FL 33173
Phone (305) 595-9511

7600 SW 87th Ave
Ste 100
Miami, FL 33173
Phone (786) 235-3750

1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

8375 NW 53rd Ter
Miami, FL 33166
Phone (305) 243-6725

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: crosadocortes138945@direct.med.miami.edu

Organizations & group practices 6

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": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1962990473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361003",
            "telephone_number": "305-325-5511",
            "fax_number": "305-243-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361003",
            "telephone_number": "305-325-5511",
            "fax_number": "305-243-5274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2140 W 68th St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330161815",
            "country_code": "US",
            "telephone_number": "305-330-1974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSADO-CORTES",
        "first_name": "CARLOS",
        "middle_name": "ABDIEL",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-30",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN9415521",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "9415521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.