MEDICARE: CARLOS J LAVERNIA MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	ME0062590	FL

General Provider Information

NPI Number	:	1356513857
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARLOS J LAVERNIA MD PA

Provider Business Mailing Address
First Line	:	PO BOX 141028
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33114-1028
Country	:	US
Telephone Number	:	305-773-3088
Fax Number	:

Provider Business Practice Location Address
First Line	:	2600 SW 3RD AVE STE 600
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33129-2338
Country	:	US
Telephone Number	:	305-484-9727
Fax Number	:	786-667-8723

Authorized Official
Title or Position	:	OWNER
Name	:	DR. CARLOS JESUS LAVERNIA
Credential	:	MD
Telephone Number	:	305-484-9727

Provider Enumeration Date	:	03/25/2008
Last Update Date	:	07/18/2024

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