Luana Carcassoni, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

47161 Issued in FL

Practice address

4578 W 12TH Ave
Hialeah, FL 33012-3325

Phone

(305) 538-5239

NPI assigned

Jan 6, 2007

Sex

Female

Sole proprietor

Yes

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 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1972651164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2899 COLLINS AVE",
            "address_2": "APT 1626",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331404422",
            "telephone_number": "305-538-5239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4578 W 12TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123325",
            "telephone_number": "305-538-5239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARCASSONI",
        "first_name": "LUANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-06",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "47161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042910400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dayari Carbonell, SLP
• Vivian Caridad Carbonell, APRN
• Carmen Carbot, PSY.D.
• Luis Marcelo Carcache, MD
• Heriberto Carcases
• Isis Leydis Cardenas Adames
• Sheyla Cardenas Ayub
• Osleidys Cardenas Diaz
• Yuannet Cardenas Garcia
• Guillermo Cardenas Lopez

• Family Medicine Physician in Hialeah, FL
• Providers in Hialeah, 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 Feb 17, 2016; 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.