DR. CARLOS REYDELL MEDINA


Address: 11760 Bird Rd Ste 606, Miami, FL 33175-8100
Phone: 7868177808

DR. CARLOS REYDELL MEDINA (NPI# 1487895124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487895124
Entity Type Individual
Full Name DR. CARLOS REYDELL MEDINA
Credential MD
Practice Address 11760 Bird Rd Ste 606
Miami
FL 33175-8100
Mailing Address 1835 E Hallandale Beach Blvd # 134
Hallandale Beach
FL 33009-4619
Practice Telephone 7868177808
Practice Fax Number 7865512299
Mailing Telephone 7868177808
Mailing Fax Number 7865512299
Enumeration Date 2009-03-10
Last Update Date 2020-04-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208200000X Plastic Surgery ME106831 FL Allopathic & Osteopathic Physicians
N 208200000X Plastic Surgery 182714 PA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
11750 Bird Rd, Miami, FL 331753530 7068639595 8887453917

Other Providers CARLOS MEDINA

NPI Name Taxonomy Address Enumeration
1396944351 Carlos Medina Dentist 240 E New York Ave, Deland, FL 32724-5522 2007-07-11
1972554954 Carlos Alfredo Medina Pediatrics 8501 Wade Blvd, Bldg. X, Suite 1020, Frisco, TX 75034-5894 2006-05-13
1033744826 Carlos E Medina Behavior Technician 500 Fairway Dr Ste 102, Deerfield Beach, FL 33441-1817 2020-03-11
1487092508 Carlos Arnaldo Medina Family Medicine 1500 W 1st St, Mercedes, TX 78570 2013-06-11
1730227125 Carlos Medina Urology 525 E 68th St # 94, Department of Pediatric Urology, New York, NY 10065-4870 2007-02-01
1710048228 Carlos A Medina Family Medicine 500 E Oglethorpe Hwy, Hinesville, GA 31313-2804 2006-12-12
1699788406 Carlos Medina Emergency Medicine 3330 Lomita Blvd, Torrance, CA 90505-5002 2006-08-14
1639193923 Carlos A Medina Obstetrics & Gynecology 1611 Nw 12th Ave, M851, Miami, FL 33101-6960 2006-07-27

Office Location

Street Address 11760 BIRD RD STE 606
City MIAMI
State FL
Zip Code 33175-8100

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700242617 Carlos Medina Md Pa Surgery 11760 Bird Rd Ste 606, Miami, FL 33175-8100 2016-01-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548885965 Kevin Bernardo Gonzalez Behavior Technician 11895 Sw 37 St, Miami, FL 33175 2020-06-11
1619509106 Gladysbel Lorenzo Nurse Practitioner 11740 Sw 42st, Miami, FL 33175 2020-02-12
1154885200 Vanessa Arzola Dmd Pa and Associates Clinic/Center 13419 Sw 56th Street, Miami, Miami, FL 33175 2019-01-23
1588145932 Mailen Gonzalez Nurse Practitioner 12294 Sw 29 Ter, Miami, FL 33175 2018-08-23
1639655350 Carolina Marie Trueba Behavior Technician 12825 Sw 49th Terr, Miami, FL 33175 2018-07-16
1033611504 Joan Coro Behavior Technician 12905 Sw 42nd St Suite 219, Miami, FL 33175 2018-03-01
1417456864 Ignacio Alzugaray Nurse Practitioner 12317 Sw 20th Ter, Miami, FL 33175 2018-02-12
1215436993 Desiree Rengifo-glasgow Nurse Practitioner 11865 Sw 26th St Ste J2, Miami, FL 33175 2018-02-07
1639678691 Behavior Professional Consultants Corp. Community/Behavioral Health 2460 Sw 137th Ave 242, Miami, FL 33175 2018-02-06
1992204291 Humberto Lorenzo Paez Nurse Practitioner 4205 Sw 136th Place, Miami, FL 33175 2018-02-02
Find all providers in zip 33175

Taxonomy Information

Taxonomy Code 208200000X
Grouping Allopathic & Osteopathic Physicians
Classification Plastic Surgery

Taxonomy Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275166720 Ph1 Miami Plastic Surgery 8585 Sw 72nd St Ste 107, Miami, FL 33143-3746 2020-02-12
1962062885 Zunilda Rodriguez Martinez Plastic Surgery 7360 Sw 24th St, Miami, FL 33155-1498 2019-06-13
1457718207 Otoplastikos Plastic Surgery 41 Se 5th St, Apt 916, Miami, FL 33131-2529 2016-01-25
1639592751 Imagos Institute of Plastic Surgery Plastic Surgery 7190 Sw 87th Ave Ste 404, Miami, FL 33173-2512 2014-01-24
1053668558 Walter R. Mullin, M.d, P.a Plastic Surgery 9155 S. Dadeland Blvd, Suite 1404, Miami, FL 33156-2739 2012-08-14
1689965956 Philip Rodriguez Md Pa Plastic Surgery 1616 S Bayshore Dr, Miami, FL 33133-4202 2011-04-21
1659606465 Xiaoti Xu Plastic Surgery 3150 Sw 38th Ave Suite 800, Aesthetic and Reconstructive Surgeons, Miami, FL 33146 2009-10-13
1306089693 Jose Antonio Munoz Plastic Surgery 11776 Sw 88th St, Miami, FL 33186-2102 2009-04-15
1154570042 Steven A Earle Plastic Surgery 7265 Sw 93rd Ave Ste 201, Miami, FL 33173 2008-09-16
1497914212 Joshua A Lampert Plastic Surgery 20200 W Dixie Hwy Ste 5g, Miami, FL 33180-1919 2008-06-06
Find all providers in MIAMI

Competitor

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City MIAMI
Zip Code 33175

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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